Organization
KEYES SURGICAL ASSIST INC
Active
Organization
KEYES SURGICAL ASSIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MILLER KEYES PA-C (PHYSICIAN ASSISTANT CERTIFIED)
(772) 398-9763
Entity
Organization
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
(772) 467-2856
Mailing address
132 WIDE RIVER CV, STUART, FL 34994-9132
(772) 398-9763
(772) 337-7548
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65113
METCARE
—
01
—
DF1932
MEDICARE RAILROAD
FL
01
—
X1622
BCBS
FL
Enumeration date
01/19/2007
Last updated
11/20/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up