Angela Marie Keeton (NPI# 1770099889, PAC ID# 2365704129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770099889 |
| PAC ID by PECOS | 2365704129 |
| Professional Enrollment ID | I20180315001398 |
| Full Name | Angela Marie Keeton |
| Organization Legal Name | MAIN STREET FAMILY PRACTICE INC |
| Address |
9000 N Main St Suite 403 Dayton OH 45415-1165 |
| Phone Number | 9378365171 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002889706 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9000 N Main St, Suite 403, Dayton, OH 45415-1165 | 9378365171 | MAIN STREET FAMILY PRACTICE INC |
| 9000 N Main St, Dayton, OH 45415-1165 | 9378365171 | MAIN STREET FAMILY PRACTICE INC |
| Organization Legal Name | MAIN STREET FAMILY PRACTICE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Wittberg | Family Medicine | Main Street Family Practice Inc | 9000 N Main St, Suite 403, Englewood, OH 45415-1165 |
| Martin Fujimura | Family Medicine | Main Street Family Practice Inc | 9000 N Main St, Suite 403, Englewood, OH 45415-1165 |
| Aco Jovanov | Family Medicine | Main Street Family Practice Inc | 9000 N Main St, Suite 403, Englewood, OH 45415-1165 |
| Street Address |
9000 N MAIN ST SUITE 403 |
| City | DAYTON |
| State | OH |
| Zip | 45415-1165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Timothy Loughlin | Gastroenterology | Dayton Gastroenterology Inc | 9000 N Main St, Suite 405, Englewood, OH 45415-1170 |
| Toby Lees | Urology | Dayton Physicians LLC | 9000 N Main St, Suite 333, Dayton, OH 45415-1166 |
| Susan M Emmerling | Obstetrics/gynecology | Premier Health Specialists Inc | 9000 N Main St, Suite 232, Englewood, OH 45415-1184 |
| Rebecca R Balaj | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Howard M Gross | Hematology/oncology | Dayton Physicians LLC | 9000 N Main St, Suite G 36, Dayton, OH 45415-1166 |
| Ronald C Chiu | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Melissa A Grilliot | Pathology | Dayton Physicians LLC | 9000 N Main St, Suite 340, Dayton, OH 45415-1185 |
| Michael W Gorsky | Gastroenterology | Dayton Gastroenterology Inc | 9000 N Main St, Suite 405, Englewood, OH 45415-1170 |
| Jon Patrick Ryan | Rheumatology | Samaritan Family Care Inc | 9000 N Main St, Suite 200, Englewood, OH 45415-1165 |
| Ramaswamy Bathini | Cardiovascular Disease (cardiology) | Premier Health Specialists Inc | 9000 N Main St, Suite 101, Dayton, OH 45415-1166 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anuj Goyal | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Rajesh C Patel | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Imad S Basha | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Patrick Allan | Critical Care (intensivists) | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Ellen Beltran Pacia | Internal Medicine | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Thomas M Yunger | Pulmonary Disease | Rajesh C Patel Md Inc | 9001 N Main St, Suite A, Dayton, OH 45415-1154 |
| Kathleen Wittberg | Family Medicine | Main Street Family Practice Inc | 9000 N Main St, Suite 403, Englewood, OH 45415-1165 |
| James D Aldstadt | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Polina Sadikov | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Seth Tyler Kettel | Family Medicine | Samaritan Family Care Inc | 9000 N Main St, Suite 300, Englewood, OH 45415-1165 |
| Find all physicians in zip 45415 | |||
| City | DAYTON |
| Zip Code | 45415 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAYTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela Marie Keeton.
| 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.