Beth G Keefe
Internal Medicine

Address: 600 Walnut Ridge Dr, Hartland, WI 53029
Phone: 2623697040

Beth G Keefe (NPI# 1013980234) 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) 1013980234
Entity Type Individual
Full Name Beth G Keefe
Credential M.D.
Gender Female
Practice Address 600 Walnut Ridge Dr
Hartland
WI 53029
Practice Telephone 2623697040
Practice Fax Number 2623696922
Mailing Address 600 Walnut Ridge Dr
Hartland
WI 53029
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-08
Last Update Date 2018-07-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 44488 WI
No 208000000X Pediatrics Allopathic & Osteopathic Physicians 44488 WI

Other Provider Identifier

State Identifier Issuer Type Code
WI 1013980234 MEDICAID
WI K400384514 OTHER MEDICARE

Physician Overview

NPI 1013980234
PAC ID by PECOS 3476748641
Professional Enrollment ID I20101112000973
Full Name Beth G Keefe
Organization Legal Name AURORA MEDICAL GROUP INC
Phone Number 2623697040
Gender F
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1998
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PEDIATRIC MEDICINE
Group Practice PAC ID 6709794258
Number of Group Practice Members 2271
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520206 AURORA MEDICAL CENTER - SUMMIT
520062 OCONOMOWOC MEMORIAL HOSPITAL
520008 WAUKESHA MEMORIAL HOSPITAL
520116 WATERTOWN MEMORIAL HOSPITAL

Office Location

Street Address 600 WALNUT RIDGE DR
City HARTLAND
State WI
Zip Code 53029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184603755 Fawad Khan Internal Medicine 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2006-01-12
1487103198 Wiaam Taha Internal Medicine 600 Walnut Ridge Dr, Hartland, WI 53029 2016-09-23
1558519207 Aurora Health Care Ventures Inc. Eyewear Supplier 600 Walnut Ridge Dr, Suite 216, Hartland, WI 53029-9385 2008-09-07
1609055623 Aurora Medical Group, Inc. Eyewear Supplier 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2007-10-26
1972792182 Christine B Groth Pharmacist 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2007-10-24
1598959967 Veena V Gonuguntla Pediatrics 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2007-08-29
1497978621 Jill A Holz Family Medicine 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2007-04-10
1053479287 Aurora Medical Group,inc. Durable Medical Equipment & Medical Supplies 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2006-12-04
1427165620 Kristin J Simons Family Medicine 600 Walnut Ridge Dr, Hartland, WI 53029 2006-08-24
1144337759 Lisa L Harshbarger Obstetrics & Gynecology 600 Walnut Ridge Dr, Hartland, WI 53029 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063854149 Madeline M Walter Dentist 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 2013-07-18
1801235403 Kelly L.m. Newman Dentist 139 E. Capitol Dr., Hartland, WI 53029 2013-06-18
1124465323 Ascension St Francis Hospital, Inc General Acute Care Hospital 609 River Meadow Drive, Hartland, WI 53029 2013-05-28
1528313384 Kristina Johnson Physical Therapist 600 Hartbrook Dr Ste 111, Hartland, WI 53029 2012-07-18
1578822565 Kacie Estes Walters Chiropractor 1120 James Dr Ste B, Hartland, WI 53029 2012-05-10
1639485428 Lisa Renae Herpolsheimer Social Worker W331 N9103 West Shore Drive, Hartland, WI 53029 2010-08-31
1063669943 John Light Atlee Sr. Anesthesiology W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 2008-08-22
1598947053 Merton Community School District Local Education Agency (LEA) W28320 Sussex Road, Hartland, WI 53029 2007-11-27
1407057441 George Chris Panos Dentist N 67 W 31027 Club Circle East, Hartland, WI 53029 2007-05-29
1205044773 Derek Steven Serna Internal Medicine 1683 Whistling Hill Cir, Hartland, WI 53029 2007-05-18
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184603755 Fawad Khan Internal Medicine 600 Walnut Ridge Dr, Hartland, WI 53029-9385 2006-01-12
1487632196 Srinivasa R. Pamulapati Internal Medicine 1604 E Juniper Way, Hartland, WI 53029-8670 2006-01-03
1487103198 Wiaam Taha Internal Medicine 600 Walnut Ridge Dr, Hartland, WI 53029 2016-09-23
1386759397 Mary L Geralts Internal Medicine 600 Walnut Ridge Dr, Hartland, WI 53029 2006-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407343965 Informe Healthcare LLC Internal Medicine 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 2018-04-19
1851816862 Cubic Life Integrative Care S.c. Internal Medicine 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 2017-08-10
1811448723 Star Medical Associates of Milwaukee, Co Internal Medicine 1038 W Glen Crossing Dr, Oak Creek, WI 53154-7467 2016-10-17
1821542739 Mark Ridder Internal Medicine M120 Highway 97, Marshfield, WI 54449 2016-08-09
1740654862 Andrew Pfaffenbach Internal Medicine 2693 W Grand Chute Blvd, Appleton, WI 54913-9617 2015-12-01
1225409048 Lotus Comprehensive Health Care, Sc Internal Medicine 2010 Indiana St, Racine, WI 53405-3651 2015-10-20
1598152126 Brian Schreiber Internal Medicine 2414 Forest Manor Ct, Neenah, WI 54956-4825 2015-04-21
1942694401 Iryna Nemesh Internal Medicine 1020 N 12th St Fl 2, Milwaukee, WI 53233 2015-03-23
1154711281 Wound Healing On Wheels, LLC Internal Medicine 2010 Bridle Path, Wisconsin Rapids, WI 54494-0703 2015-01-27
1124426606 In Charge Medical Professionals LLC Internal Medicine S75w20437 Field Dr, Muskego, WI 53150-7400 2014-12-15
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Competitor

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City HARTLAND
Zip Code 53029

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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.

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