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

Mr. Timothy D Keyes, PA

Individual provider Physician Assistant · NPI 1124025473

Mr. Timothy D Keyes, PA is a Physician Assistant in Johnson City, New York. Qualified in 2000, 26 years ago. Practices with United Medical Associates PC, a 232-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Harrison St Ste 250
Johnson City, NY 13790-2176
Phone: (607) 763-6580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1500 N James St, Rome, NY 13440-2844 — (315) 338-7184
  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 448-5111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008055 (NY)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 008055-1 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 008005 (NY)

Record details

NPI number1124025473
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025
Mailing address104 Union Ave Ste 804, Syracuse, NY 13203-1844

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City