Active NPIIndividual providerSole proprietor

Keith E Macksoud, CRNA

Nurse Anesthetist, Certified Registered in Lincoln, Rhode Island

NPI Number1659346740
Practice location
1817 Old Louisquisset Pike, Lincoln, RI 02865-4516
Fax
401-729-3476
Last updated
October 31, 2007

Keith E Macksoud is a Nurse Anesthetist, Certified Registered based in Lincoln, RI. Keith E Macksoud practices in Lincoln, RI and has the professional credentials of CRNA. The NPI Number for Keith E Macksoud is 1659346740 and holds a License No. RNA24719 (RI). The current practice location address for Keith E Macksoud is 1817 Old Louisquisset Pike, Lincoln, RI 02865-4516 and can be reached out via phone at 401-727-2443 and via fax at 401-729-3476.

Provider Profile Details

NPI Number
1659346740
Provider Name
Keith E Macksoud
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1817 Old Louisquisset Pike, Lincoln, RI 02865-4516
Phone Number
401-727-2443
Fax Number
401-729-3476
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2006
Last Update Date
October 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1817 Old Louisquisset Pike
Lincoln, RI 02865-4516
Zip
02865-4516
Phone Number
401-727-2443
Fax Number
401-729-3476
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
1817 Old Louisquisset Pike
Lincoln, RI 02865-4516
City
Lincoln
State
RI
Zip
02865-4516
Phone Number
401-727-2443
Fax Number
401-729-3476

License Information

License Number
RNA24719
License State
RI
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith E Macksoud, CRNA?

The NPI number of Keith E Macksoud, CRNA is 1659346740. It was assigned on February 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Keith E Macksoud, CRNA?

Keith E Macksoud, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in RI under license number RNA24719.

Where does Keith E Macksoud, CRNA practice?

The practice location is 1817 Old Louisquisset Pike, Lincoln, RI 02865-4516. The office can be reached at 401-727-2443 (phone) or 401-729-3476 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659346740 directly on the NPPES registry website.

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