| Andrew Joseph Keogh, DNP, APRN, CRNA | |
| 
					1575 Beam Ave, Maplewood, MN 55109-1126  | |
| (651) 232-7000 | |
| Not Available | 
| Full Name | Andrew Joseph Keogh | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1575 Beam Ave, Maplewood, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922730118 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 2322359 (Minnesota) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 2768 (Minnesota) | Primary | 
| Entity Name | Metropolitan Anesthesia Network Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579  | 
| Entity Name | University Anesthesia Providers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew Joseph Keogh, DNP, APRN, CRNA 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7000  | Andrew Joseph Keogh, DNP, APRN, CRNA 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7000  | 
Danielle N Hartman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000  | |
Mary L Hasecuster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870  | |
Kathleen F Gams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870  | |
Randy L Vindedahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-251-8050  | |
Marilyn A Harder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870  | |
Theodore M Spiess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870  | |
Donna Kodet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870  |