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

Keith Westley Shillito, MD

Individual provider Adult Medicine Physician · NPI 1417954850

Keith Westley Shillito, MD is a Family Practice in Parker, Arizona. Graduated from Michigan State University College of Human Medicine in 1997, 29 years ago. Practices with Parker Medical Center, Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Trained at
Michigan State University College of Human Medicine
Licensed in
AZ
In the registry since
2005
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

905 Fiesta
Parker, AZ 85344-5152
Phone: (928) 669-2225
Fax: (928) 669-6751
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 32755 (AZ)

Record details

NPI number1417954850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2005
Last updated in NPPESFebruary 26, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1997 (29 years in practice)
Group practice Parker Medical Center, Ltd. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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