Mr. John George Keenan
Registered Nurse (Critical Care Medicine)

Address: 34800 W. Bob Wilson Drive, Nmcsd Anesthesia Department, San Diego, CA 92134
Phone: 6195328942

Mr. John George Keenan (NPI# 1730157843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1730157843
Entity Type Individual
Full Name Mr. John George Keenan
Credential CRNA
Gender Male
Practice Address 34800 W. Bob Wilson Drive
Nmcsd Anesthesia Department
San Diego
CA 92134
Practice Telephone 6195328942
Mailing Address 1508 Hermes St
San Diego
CA 92154-2722
Mailing Telephone 6194234200
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-14
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163WC0200X Registered Nurse · Critical Care Medicine Nursing Service Providers RN 559071 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1124661491 John Keenan Prosthetic/Orthotic Supplier 11075 Westborough Rd, Parma Heights, OH 44130-3014 2019-10-19
1699944744 John Mackenzie Keenan Chiropractor 718 Leray St, Watertown, NY 13601-1311 2008-02-22
1427050657 John Paul Keenan Ophthalmology 2401 Nw 23rd St, Suite 1a, Oklahoma City, OK 73107-2442 2005-06-01
1790084366 John Francis Keenan Family Medicine 2775 N George St, York, PA 17406-3020 2011-03-22
1124233218 John E Keenan Dentist 5133 Washington St, Suite 2, Downers Grove, IL 60515 2007-05-11
1528107570 John T Keenan Chiropractor 14 Hayward St, Suite 4, Cranston, RI 02910-2750 2007-02-06
1861438442 John P Keenan Obstetrics & Gynecology 83 Herrick Street, Suite 2004, Beverly, MA 01915 2006-06-21
1659320877 John Thomas Keenan Podiatrist 215 S 1st St, Lehighton, PA 18235-2163 2006-05-06
1497703748 John A Keenan Psychologist 1314 S King St, Ste 962, Honolulu, HI 96814-1956 2006-05-05

Physician Overview

NPI 1730157843
PAC ID by PECOS 4981694569
Professional Enrollment ID I20040514001277
Full Name John George Keenan
Organization Legal Name SOUTHERN CALIFORNIA GASTROENTEROLOGY ANESTHESIA SPECIALISTS
Phone Number 6192661653
Gender M
Credential CNA
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 2001
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 1153638572
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050024 PARADISE VALLEY HOSPITAL

Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346850120 Phuong Dung Thi Do Registered Nurse 4855 Ariva Way Apt 127, San Diego, CA 92123-2184 2020-08-05
1184051385 Obed Gerald Sherlinee Registered Nurse 4152 Orange Ave, San Diego, CA 92105-1156 2013-10-02
1932405818 April Jean Kobishop Knutson Registered Nurse 7255 Rock Canyon Dr, San Diego, CA 92126-1059 2011-02-09
1356659734 Tracy Lynn Jasin Registered Nurse 3577 Strandway, San Diego, CA 92109-7460 2010-09-19
1629235908 Barbara Harvey Registered Nurse 8989 Rio San Diego Drive, Suite 360, San Diego, CA 92108 2008-05-22
1083815336 Meshel Dana Bradley Registered Nurse 2550 Broadway, Unit B, San Diego, CA 92102-2179 2007-05-31
1669690681 Mary Frances Mckeever Registered Nurse 2519 Fenton Pkwy, #501, San Diego, CA 92108-6785 2007-04-23
1831108786 Jose G Gancayco Registered Nurse 9888 Genesee Ave., San Diego, CA 92037 2006-08-07
1497358519 Alexis Heard Registered Nurse 4077 5th Ave, San Diego, CA 92103-2105 2020-11-19
1134742448 David Sternbaum Registered Nurse 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-05-20
Find all providers in SAN DIEGO

Office Location

Street Address 34800 W. BOB WILSON DRIVE
NMCSD ANESTHESIA DEPARTMENT
City SAN DIEGO
State CA
Zip Code 92134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

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.