Brian Keenan (NPI# 1063699163, PAC ID# 0446425839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1063699163 |
| PAC ID by PECOS | 0446425839 |
| Professional Enrollment ID | I20141029000299 |
| Full Name | Brian Keenan |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Address |
725 N Pacific Southeast Campus Health Clinic Cape Girardeau MO 63701-5230 |
| Phone Number | 5736512270 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9133024334 |
| Number of Group Practice Members | 136 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260110 | SOUTHEASTHEALTH |
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| 260160 | SOUTHEASTHEALTH CENTER OF STODDARD COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 5733344822 | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| 310 S Silver Spring Rd, Southeast Wond Care Adn Hyperbariacs, Cape Girardeau, MO 63701-5230 | 5733349637 | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| 725 N Pacific, Southeast Campus Health Clinic, Cape Girardeau, MO 63701-5230 | 5736512270 | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Roth | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 |
| Stephanie J Neal | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2126 Independence St, Cape Girardeau, MO 63703-5826 |
| Leah Hayman | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 789 S Mount Auburn Rd, Cape Girardeau, MO 63701-6387 |
| Janet S Stewart | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 15 Doctors Park, Cape Girardeau, MO 63703-4927 |
| Amanda J Boatwright | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 371 S Broadview St, Cardiovascular Consultants, Cape Girardeau, MO 63703-5761 |
| Jehan P Murugaser | Family Medicine | Southeast Missouri Hospital Physicians LLC | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 |
| Julianna P Lippert Keck | Family Medicine | Southeast Missouri Hospital Physicians LLC | 310 S Silver Spring Rd, Southeast Wond Care Adn Hyperbariacs, Cape Girardeau, MO 63701-5230 |
| Sterling Alexander Meza | Anesthesiology | Southeast Missouri Hospital Physicians LLC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Chris Robert Rosenquist | Obstetrics/gynecology | Southeast Missouri Hospital Physicians LLC | 1111 N Mount Auburn Rd, Women First of Southeast Health, Cape Girardeau, MO 63701-3437 |
| Tia M Rademaker | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2432 E Main St B, Southeast Convenient Care, Jackson, MO 63755-1711 |
| Street Address |
725 N PACIFIC SOUTHEAST CAMPUS HEALTH CLINIC |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip | 63701-5230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Griffin | Internal Medicine | Southeast Missouri Hospital Physicians LLC | 725 N Pacific, Cape Girardeau, MO 63701-5230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Schoolman | Maxillofacial Surgery | 1325 N Mt Auburn Rd, Cape Girardeau, MO 63701-1722 | |
| Byron C Glenn | Family Practice | 1353 N Mount Auburn Rd, Suite B, Cape Girardeau, MO 63701-1723 | |
| Robert D Bieser | Family Medicine | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Crystal L Heck | Nurse Practitioner | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Sandra R Buchheit | Nurse Practitioner | Cape Family Care LLC | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 |
| Shuang Ying Bao | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Ravi K Thimmisetty | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Swetha Makkapati | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Frank W Braxton | Nephrology | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Debra L Burton | Nurse Practitioner | Cape Girardeau Nephrology Associates, PC | 1349 N Mount Auburn Rd, Fresenius Medical Care, Cape Girardeau, MO 63701-1727 |
| Find all physicians in zip 63701 | |||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CAPE GIRARDEAU + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.