DR. BAHAREH EBADIFAR KEITH DO NPI 1003011735
Pediatrics in Gainesville, FL
About BAHAREH KEITH
Bahareh Keith is a pediatrician established in Gainesville, Florida and her medical specialization is pediatrics. The NPI number of Bahareh Keith is 1003011735 and was assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number OS10957 (FL). The provider is registered as an individual and her NPI record was last updated 11 years ago.
A pediatrician like Dr. Bahareh Ebadifar Keith Do is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Bahareh Keith is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003011735 |
| Provider Name | DR. BAHAREH EBADIFAR KEITH DO |
| Provider Location Address | 1600 SW ARCHER RD GAINESVILLE, FL 32610 |
| Provider Mailing Address | PO BOX 918025 ORLANDO, FL 32891 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 06-21-2007 |
| Last Update Date | 09-24-2010 |
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | OS10957 |
| License State | FL |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Business Address
DR. BAHAREH EBADIFAR KEITH DO
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-0462
Fax: (352) 273-6250
Mailing Address
DR. BAHAREH EBADIFAR KEITH DO
PO BOX 918025
ORLANDO, FL
ZIP 32891
Phone: (352) 273-0462
Fax: (352) 273-6250
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | UO1652 | FL | No | |
Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| DK797Z | MEDICARE PIN (08) | FL |
| 002398600 | MEDICAID (05) | FL |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669475554 | WALTER J MILTON MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0301 |
| 1669476347 | MS. JOAN ELLA ENGLISH PA-C Individual | Physician Assistant | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-9350 |
| 1245234624 | DR. BRUCE K. STECHMILLER MD Individual | Internal Medicine (Hematology & Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1174528780 | SCOTT WILLIAM PETERSON MD Individual | Radiology (Vascular & Interventional Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0290 |
| 1700883485 | DR. ERIC KIRK THOBURN MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1023015823 | ANTHONY P MCDONALD MD Individual | Surgery | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 374-6078 |
| 1164421772 | ROBERTA MOORE SLATER MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1164421764 | WEI HE ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 266-7240 |
| 1871593913 | NAM HOANG DANG MD Individual | Internal Medicine (Medical Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1568454684 | CLAIRE ALEXANDRIA FLINT CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 264-0077 |
| 1003809237 | MR. ROBERT M CLONAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (800) 642-1999 |
| 1558356402 | MUTASIM N. ABU-HASAN MD Individual | Pediatrics (Pediatric Pulmonology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-8379 |
| 1598750390 | DR. JYOTI BUDANIA MD Individual | Pediatrics | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 371-3604 |
| 1669469326 | ANDRE PIERRE BOEZAART MD PHD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 392-3441 |
| 1215924501 | MELISSA MAI VU MD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (904) 953-2000 |
| 1932198819 | LILLIAN MARGARET VAN HOUTEN ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 334-1400 |
| 1124017017 | MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C. Individual | Genetic Counselor, MS | 1600 SW ARCHER RD UF PEDIATRIC GENETICS GAINESVILLE, FL 32610 (352) 392-4104 |
| 1215918487 | DR. WILLIAM ALISON CUMMING M.D. Individual | Radiology (Pediatric Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0102 |
| 1871575183 | BELINDA WESLEY SELLI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-9900 |
| 1306828793 | DR. SCOTT L. MYERS MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1600 SW ARCHER RD SUITE 3341 GAINESVILLE, FL 32610 (352) 265-5471 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.