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

Dr. George D Keckeisen, MD

Individual provider Vascular Surgery Physician · NPI 1619072436

Dr. George D Keckeisen, MD is a General Surgery in Southampton, New York. Graduated from New York Medical College in 1981, 45 years ago. Practices with Meeting House Lane Medical Practice PC, a 123-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
45
Trained at
New York Medical College
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

325 Meeting House Ln Bldg #2
Southampton, NY 11968-5087
Phone: (631) 283-2100
Fax: (631) 283-5731
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 151417 (NY)

Record details

NPI number1619072436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 11, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1981 (45 years in practice)
Group practice Meeting House Lane Medical Practice Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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