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

Keith Matthew Wirth

Individual provider Surgery Physician · NPI 1336568617

Keith Matthew Wirth is a General Surgery in Maplewood, Minnesota. Qualified in 2014, 12 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014

Practice location Address checks out

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone: (612) 232-7800
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 61495 (MN)

Record details

NPI number1336568617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing address2945 Hazelwood St Ste 200, Maplewood, MN 55109-1243

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesNEUROSURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maplewood