KELLY S KEEFE MD INC (NPI# 1972871382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972871382 |
| Entity Type | Organization |
| Organization Name | KELLY S KEEFE MD INC |
| Practice Address |
3969 4th Ave Ste 301 San Diego CA 92103-3165 |
| Practice Telephone | 6192916191 |
| Practice Fax Number | 6192910049 |
| Mailing Telephone | 6192916191 |
| Mailing Fax Number | 6192910049 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | DR. KELLY S KEEFE (OWNER) |
| Authorized Official Telephone | 6192916191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A48069 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3969 4TH AVE STE 301 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505139 | James Carey Fawcett | Urology | 3969 4th Ave, Suite 202, San Diego, CA 92103-3165 | 2005-06-01 |
| 1215297072 | Richard R Burns Md Inc | Specialist | 3969 4th Ave, Suite 300, San Diego, CA 92103-3165 | 2012-05-25 |
| 1831400811 | Suzanne P Handler Md Inc | Ophthalmology | 3969 4th Ave, Suite 301, San Diego, CA 92103-3165 | 2010-06-24 |
| 1821312190 | Courique Optical | Ophthalmology | 3969 4th Ave, Suite 301, San Diego, CA 92103-3165 | 2010-03-16 |
| 1992032858 | Delano Homer Sandusky Jr. | Counselor | 3969 4th Ave, Suite 203, San Diego, CA 92103-3165 | 2009-11-12 |
| 1003085572 | Barbara Denysiak | Legal Medicine | 3969 4th Ave, Ste. 203, San Diego, CA 92103-3165 | 2008-02-28 |
| 1861695975 | Scott William Irwin | Counselor | 3969 4th Ave, Suite 210, San Diego, CA 92103-3165 | 2007-06-06 |
| 1457562258 | Arthur J. Macwhinnie | Counselor | 3969 4th Ave, Suite 203, San Diego, CA 92103-3165 | 2007-05-24 |
| 1386852887 | David Allen Walls | Counselor | 3969 4th Ave, Suite 203, San Diego, CA 92103-3165 | 2007-05-18 |
| 1063638682 | Michael T Couris | Ophthalmology | 3969 4th Ave, Suite 301, San Diego, CA 92103-3165 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1932763042 | Logan M. Haak, M.d., Inc. | Ophthalmology | 1855 1st Ave # 200b, San Diego, CA 92101-2685 | 2019-04-24 |
| 1871009001 | Glenn Paul Goltz | Ophthalmology | 4240 Arguello St, San Diego, CA 92103-1506 | 2017-12-26 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1811350549 | Nora El-khatib Md Inc. | Ophthalmology | 302 Washington St # 150-1676, San Diego, CA 92103-2110 | 2016-03-31 |
| 1225419583 | Andrew Cu-unjieng, M.d. | Ophthalmology | 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 | 2015-06-12 |
| 1215277272 | Joseph Hartman | Ophthalmology | 5006 Westminster Ter, San Diego, CA 92116-2103 | 2013-02-27 |
| 1477804284 | Michelle B. Crosby M.d., Ph.d. Incorporated | Ophthalmology | 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 | 2012-09-20 |
| 1467714311 | Eye Care Associates of San Diego Medical Group, Inc. | Ophthalmology | 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 | 2012-06-15 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
| Find all providers in SAN DIEGO | ||||
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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.