KEITH R. RUNYAN M.D. – NPI #1104801018
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

KEITH RUNYAN is a physician located in SAINT PETE BEACH, FL. NPPES has assigned the NPI number 1104801018 to KEITH RUNYAN on December 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Jul 09, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH RUNYAN below.

NPI Profile for
KEITH R. RUNYAN

NPI Number
1104801018
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEITH R. RUNYAN
Credentials
M.D.
Primary location
3305 W MARITANA DR
SAINT PETE BEACH, FL 33706
Phone: (813) 502-0529 Fax:
Mailing address
Same as primary location
Updated
Identifiers

Identifiers for KEITH RUNYAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSE NUMBERFLME62416
MEDICAIDFL262962300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
FL ME62416

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.