Douglas L. Keagle D.O. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS003117L Issued in PA

Legal business name

DOUGLAS L. KEAGLE D.O. P.C.

Practice address

1501 Lansdowne Ave
Suite 101
Darby, PA 19023-1333

Phone

(610) 534-6310

Fax

(610) 534-6350

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Lee Keagle, D.O.

Title

President

Phone

(610) 534-6310

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063572204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 101",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6310",
            "fax_number": "610-534-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 101",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6310",
            "fax_number": "610-534-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. KEAGLE D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEAGLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-534-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS003117L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghana Vijay Dhamdhere, MD
• Nicole Diekow, M.A., CCC-SLP
• Lorraine M Disipio, D.O.
• Marlee Doe
• Lorraine Donatelli, CRNA
• Kimberly Downing, M.D.
• Sheila Downing, RD
• Brenden Doyle
• Thomas Duffy, D.O.
• Shreya Dunddumalla

• Internal Medicine Physician in Darby, PA
• Providers in Darby, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.