Individual Healthcare Provider
Timothy D Keyes, PA
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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 208G00000XPhysician 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
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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