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

Individual provider Physician Assistant · NPI 1104541556

Keaton Ware, PA-C is a Physician Assistant in Dearborn, Michigan. Qualified in 2022, 4 years ago. Practices with First Choice Urgent Care PC, a 47-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

23455 Michigan Ave
Dearborn, MI 48124-1908
Phone: (734) 333-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011362 (MI)

Record details

NPI number1104541556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 2, 2022
Mailing address1301 Orleans St Apt 1905e, Detroit, MI 48207-3098

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice First Choice Urgent Care Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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