DR. RICHARD GEORGE KEIGHTLEY (NPI# 1568460616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568460616 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GEORGE KEIGHTLEY |
| Credential | M.D. |
| Practice Address |
20940 N Tatum Blvd Ste 205 Phoenix AZ 85050-7260 |
| Practice Telephone | 4809911930 |
| Practice Fax Number | 4804438196 |
| Mailing Telephone | 4809911930 |
| Mailing Fax Number | 4804438196 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
11856 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
11856 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 1Z2992 | 01 |
| AZ | AETNA HMO | 2572627 | 01 |
| AZ | UNITED HEALTH CARE | 0200027 | 01 |
| AZ | AETNA PPO | 4022160 | 01 |
| AZ | UHC | 0200027 | 01 |
| AZ | BCBS | AZ0027920 | 01 |
| Street Address |
20940 N TATUM BLVD STE 205 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328871 | Gondra Center for Reproductive Care & Advanced Gynecology | Obstetrics & Gynecology | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-03-15 |
| 1073973558 | Gondra Center for Ivf Laboratories | Clinical Medical Laboratory | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-02-26 |
| 1386000917 | Advanced Scottsdale Anesthesia LLC | Specialist | 20940 N Tatum Blvd, Phoenix, AZ 85050-4265 | 2016-01-12 |
| 1568833994 | Scottsdale Dermatology, Ltd | Dermatology | 20940 N Tatum Blvd, Suite 270, Phoenix, AZ 85050-4265 | 2015-10-12 |
| 1245659531 | Arizona Glaucoma Specialists - North Phoenix, LLC | Ophthalmology | 20940 N Tatum Blvd, Suite 250, Phoenix, AZ 85050-7246 | 2014-04-15 |
| 1477802981 | Global Sleep | Clinic/Center | 20940 N Tatum Blvd, #325, Phoenix, AZ 85050-4265 | 2012-08-30 |
| 1174816730 | Emily Edwards Inglhofer | Family Medicine | 20940 N Tatum Blvd, Suite 300, Phoenix, AZ 85050-4265 | 2011-05-16 |
| 1285963389 | Spine Physicians PC | Family Medicine | 20940 N Tatum Blvd, Suite 350, Phoenix, AZ 85050-4265 | 2009-12-18 |
| 1114155140 | Chrystal D Lemaster | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-06-29 |
| 1891929733 | Alethea Y. Turner | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185711 | Uday K. Reddy | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-06-23 |
| 1003991753 | Desert Center for Allergy and Chest Diseases | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2006-10-25 |
| 1528170453 | Cmg Allergy Clinic | Allergy & Immunology | 25500 N Norterra Dr, Attn: Hcfs, Phoenix, AZ 85085-8200 | 2006-08-31 |
| 1245270230 | Allan M Wachter | Allergy & Immunology | 12020 S Warner Elliot Loop, Suite 124, Phoenix, AZ 85044-2700 | 2006-06-07 |
| 1285626374 | Stephen N Finberg | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584812 | Northern Arizona Allergy Group LLC | Allergy & Immunology | 3130 Stillwater Dr Ste B, Prescott, AZ 86305-7199 | 2018-07-13 |
| 1356668644 | Hosea E Brown Md Inc | Allergy & Immunology | 3755 Karicio Ln, Suite 2a, Prescott, AZ 86303-6836 | 2010-04-26 |
| 1316263031 | Hosea E Brown Md Inc | Allergy & Immunology | 2901 N Stockton Hill Rd, Suite B, Kingman, AZ 86401-4121 | 2010-04-20 |
| 1255473872 | Jodi Leah Rubin | Allergy & Immunology | 9097 E Desert Cove Ave Ste 250, Scottsdale, AZ 85260-6278 | 2007-02-12 |
| 1801821152 | Todd Michael Hrabak | Allergy & Immunology | 5750 W. Thunderbird Rd #g780, Glendale, AZ 85306-4636 | 2006-07-12 |
| 1942268156 | Eddie Leon Gaines | Allergy & Immunology | 42145 N Fairgreen Ct, Anthem, AZ 85086-1066 | 2006-05-04 |
| 1487274791 | Forkela, LLC | Allergy & Immunology | 2001 N 4th St, Flagstaff, AZ 86004-4227 | 2020-04-17 |
| 1265996102 | Allergy & Immunology Specialists, LLC | Allergy & Immunology | 13575 W Indian School Rd Ste 200, Litchfield Park, AZ 85340-4906 | 2019-01-24 |
| 1144772195 | Julie A Wendt Md Pllc | Allergy & Immunology | 21803 N Scottsdale Rd, Ste 200, Scottsdale, AZ 85255-7438 | 2016-10-25 |
| 1215254503 | Hosea E Brown Md Inc | Allergy & Immunology | 255 W 24th St, Suite 1, Yuma, AZ 85364-8511 | 2010-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.