JEFFREY R KEIM (NPI# 1639259310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639259310 |
| Entity Type | Individual |
| Full Name | JEFFREY R KEIM |
| Credential | MD |
| Practice Address |
2801 University Dr S Fargo ND 58103-6029 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-0605 |
| Practice Telephone | 7012348900 |
| Mailing Telephone | 7012348900 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
8461 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 11231 | 05 |
| Street Address |
2801 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861419723 | Catherine M Garvey | Physician Assistant | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-07-16 |
| 1558975680 | Mackenzie Yaggie | Nurse Practitioner | 2801 University Dr S, Fargo, ND 58103-6029 | 2020-09-05 |
| 1508482704 | Shaun Earl Seibold | Nurse Practitioner | 2801 University Dr S, Fargo, ND 58103-6029 | 2020-06-23 |
| 1518349372 | Aubrie Hall | Speech-Language Pathologist | 2801 University Dr S, Fargo, ND 58103-6029 | 2015-06-29 |
| 1770849911 | April Alisa Qualley | Nurse Practitioner | 2801 University Dr S, Plastic Surgery, Fargo, ND 58103-6029 | 2012-04-02 |
| 1033499330 | Sanford Medical Center Fargo | Internal Medicine | 2801 University Dr S, Fargo, ND 58103-6029 | 2011-08-18 |
| 1902186208 | Sanford Clinic North | Internal Medicine | 2801 University Dr S, Fargo, ND 58103-6029 | 2011-08-18 |
| 1104123298 | Heidi L Saarinen | Nurse Practitioner | 2801 University Dr S, Fargo, ND 58103-6029 | 2011-02-25 |
| 1477878114 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 2801 University Dr S, Fargo, ND 58103-6029 | 2010-04-06 |
| 1053548107 | Amy Iva Stevahn | Registered Nurse | 2801 University Dr S, Fargo, ND 58103-6029 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619273927 | Avera St. Luke's | Surgery | 4141 31st Ave S Ste 105, Fargo, ND 58104-8778 | 2011-02-03 |
| 1669708129 | Diane R Schmidt-krings Md PC | Surgery | 3270 20th St S, Fargo, ND 58104-5917 | 2009-10-19 |
| 1255534871 | Ha Chim | Surgery | 2801 University Dr S, Fargo, ND 58103-6029 | 2007-06-10 |
| 1700907912 | Lamb Plastic Surgery Center PC | Surgery | 1507 South University Drive, Fargo, ND 58103 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720948 | D'arcy Adaire Honeycutt | Surgery | 810 E Rosser Ave, Suite 303, Bismarck, ND 58501-4463 | 2006-09-16 |
Please comment or provide details below to improve the information on JEFFREY R KEIM.
| 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.