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

Mr. Keith A Plamondon, PA-C

Individual provider Medical Physician Assistant · NPI 1639198781

Mr. Keith A Plamondon, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 1999, 27 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

1001 Division St
Prescott, AZ 86301-1601
Phone: (928) 775-5567
Fax: (928) 772-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301-1614 — (928) 445-6025

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2279 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2279 (AZ)

Record details

NPI number1639198781
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Prescott