LORETTA KEESE (NPI# 1790704963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790704963 |
| Entity Type | Individual |
| Full Name | LORETTA KEESE |
| Credential | PA |
| Practice Address |
1308 South Highway 16 Fredericksburg TX 78624-5058 |
| Practice Telephone | 8309972181 |
| Practice Fax Number | 8309979598 |
| Mailing Telephone | 8309972181 |
| Mailing Fax Number | 8309979598 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04251 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 210476201 | 05 |
| Street Address |
1308 SOUTH HIGHWAY 16 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348288 | Rebecca Wendall Daley | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2005-07-07 |
| 1033366109 | Emily J Evans | Nurse Practitioner | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2008-08-20 |
| 1700090826 | Jeffrey Randall Holt | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2007-05-09 |
| 1902967128 | Ottis L Layne Jr. | Emergency Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-12-12 |
| 1194746685 | Jennifer Kate Mayben | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-07-21 |
| 1033145545 | Fredericksburg Clinic, Pllc | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-25 |
| 1386688810 | Philip J Maple | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-15 |
| 1306880794 | Charles E Burg | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-15 |
| 1780624502 | John Radcliffe Kothmann | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-08 |
| 1811937303 | Leo C Tynan | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265907521 | Meghan Marie Ellden | Physician Assistant | 125 Olde Greenwich Dr Ste 220, Fredericksburg, VA 22408-4010 | 2018-10-12 |
| 1578912424 | Jenna Kollat | Physician Assistant | 1101 Sam Perry Blvd Ste 211, Fredericksburg, VA 22401-4465 | 2016-06-10 |
| 1386090561 | Mukul Mallick | Physician Assistant | 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 | 2016-05-06 |
| 1457690489 | James Michael Crawford | Physician Assistant | 1031 S State Highway 16, Fredericksburg, TX 78624-4472 | 2013-02-12 |
| 1023378833 | Juliet Dameron | Physician Assistant | 1601 Olde William Street, Suite B, Fredericksburg, VA 22401-5525 | 2012-05-25 |
| 1124399951 | Chelsea Marie Garfield | Physician Assistant | 3 Rosemont Ct, Fredericksburg, VA 22405-6140 | 2012-01-25 |
| 1154622967 | Elizabeth Marie Greene | Physician Assistant | Bettermed Urgent Care, 10004 Southpoint Pkwy, Fredericksburg, VA 22407 | 2010-11-10 |
| 1295986248 | Megan Lynn Staudt | Physician Assistant | 140 Industrial Loop, Suite 100, Fredericksburg, TX 78624-5456 | 2008-10-08 |
| 1083734578 | Michelle Ann O'connor | Physician Assistant | 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 | 2007-03-30 |
| 1043346992 | Natalie Gergler | Physician Assistant | 2216 Princess Anne St Ste 204, Fredericksburg, VA 22401-3300 | 2007-02-26 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on LORETTA KEESE.
| 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.