SUSAN KEEN (NPI# 1609891860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609891860 |
| Entity Type | Individual |
| Full Name | SUSAN KEEN |
| Credential | M.D. |
| Practice Address |
101 Heart Drive Ecu Physicians Family Medicine Center Greenville NC 27834-8944 |
| Mailing Address |
Po Box 751069 Ecu Physicians Charlotte NC 28275-1069 |
| Practice Telephone | 2527444611 |
| Practice Fax Number | 2527443201 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 200500516 | NC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20059024612 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903308 | 05 | |
| NC | BCBS PROVIDER NUMBER | 14146 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902256431 | Susan Keen | Internal Medicine | 590 Manning Drive Unc Preventive Medicine Residency, Chapel Hill, NC 27599-0001 | 2016-06-15 |
| 1194063321 | Susan J Keen | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-23 |
| Street Address |
101 HEART DRIVE ECU PHYSICIANS FAMILY MEDICINE CENTER |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914407 | Emily L Bray | Family Medicine | 101 Heart Drive, Ecu Physicains Family Medicine Center, Greenville, NC 27834-4300 | 2005-06-30 |
| 1639500127 | Lani True | Pharmacist | 101 Heart Drive, Robert Monk Geriatric Center, Greenville, NC 27834 | 2013-12-09 |
| 1275960999 | Christopher Todd Coltrain | Nurse Practitioner | 101 Heart Drive, Ecu Physicians Family Medicine Center, Greenville, NC 27834-8944 | 2013-09-27 |
| 1902147580 | Christina M Pieringer | Physician Assistant | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834 | 2013-03-07 |
| 1699010504 | Kari Blankenhorn Kirian | Psychologist | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834-8944 | 2012-12-04 |
| 1144580135 | Dionne Lowder Knapp | Pharmacist | 101 Heart Drive, Greenville, NC 27834 | 2012-05-23 |
| 1306117718 | Lindsay Yvonne Jenkins | Physician Assistant | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834-8944 | 2012-01-17 |
| 1447538434 | Alexander Nathaniel Durland | Physical Therapist | 101 Heart Drive, Ecu Physicians Physical Therapy, Greenville, NC 27834-8944 | 2011-07-26 |
| 1699940536 | Jamie D Messenger | Pharmacist | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834-4300 | 2008-04-22 |
| 1144429630 | Justin Reid Edwards | Family Medicine | 101 Heart Drive, Ecu Physicians Family Practice Center, Greenville, NC 27834-4300 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1457983280 | Emmyget Family Medicine, Pa | Family Medicine | 3405 White Horse Rd Ste E, Greenville, SC 29611-5947 | 2020-02-10 |
| 1275184848 | Rmcca Clinic B, LLC | Family Medicine | 45 Medical Arts Ct Ste 3, Greenville, AL 36037-3872 | 2019-09-25 |
| 1558918342 | Lv Stabler Primary Care LLC | Family Medicine | 45 Medical Arts Ct Ste 2, Greenville, AL 36037-3872 | 2019-08-26 |
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1336618222 | Ashley Rushin | Family Medicine | 4400 Interstate Highway 30 W, Greenville, TX 75402-4615 | 2018-11-20 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1437597259 | Frank V Cioppettini | Family Medicine | 31 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-06-14 |
| 1679816706 | St. Francis Physician Services Inc | Family Medicine | 75 E. Mcbee Avenue, Greenville, SC 29601-2737 | 2013-03-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on SUSAN KEEN.
| 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.