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NPISignal

Individual Healthcare Provider

Timothy D Keyes, PA

NPI Record: ActivePhysician Assistant
NPI1124025473
Johnson City, New York

Provider's NPPES record last updated: November 22, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1124025473
Primary Specialty
Physician Assistant
Practice Location
Johnson City, New York
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:18 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X
  • Thoracic Surgery (Cardiothoracic Vascular Surgery)

    Allopathic & Osteopathic Physicians

    A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

    Taxonomy code 208G00000X
  • Physician Assistant

    Surgical

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363AS0400X

Provider-Reported License Information

Physician Assistant (New York)
008055
Thoracic Surgery (Cardiothoracic Vascular Surgery) (New York)
008055-1
Physician Assistant (New York)
008005
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

30 Harrison St Ste 250

Johnson City, New York 13790-2176

Phone: (607) 763-6580

Additional Practice Location

1500 N James St

Rome, New York 13440-2844

Phone: (315) 338-7184

Additional Practice Location

301 Prospect Ave

Syracuse, New York 13203-1807

Phone: (315) 448-5111

Fax: (315) 703-5079

Record Information

Enumeration Date
July 1, 2005
Provider's NPPES Record Last Updated
November 22, 2025
Certification Date
November 22, 2025
NPISignal NPPES Dataset
August 2026

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