Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Joseph Keith Jr., MD

Individual provider Surgery Physician · NPI 1487098240

Charles Joseph Keith Jr., MD is a General Surgery in Tyler, Texas. Graduated from University of Alabama School of Medicine in 2013, 13 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Trained at
University of Alabama School of Medicine
Licensed in
TX
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 E Lake St Ste 150
Tyler, TX 75701-3357
Phone: (903) 593-0230
Fax: (903) 371-7374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence S0474 (TX)

Record details

NPI number1487098240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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