Individual provider Active NPI

John A. Keech Jr., D.O.

  • Hematology & Oncology Physician
  • Gig Harbor, WA
National Provider Identifier
1164426524
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OP60102903 Issued in WA
Practice address
4545 Point Fosdick Dr NW
Suite 215
Gig Harbor, WA 98335-1700
Phone
(253) 530-8060
Fax
(253) 530-8062
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20A6222 CA
Hematology & Oncology Physician 207RH0003X OP60102903 WA Primary

Addresses

Primary practice location

4545 Point Fosdick Dr NW
Suite 215
Gig Harbor, WA 98335-1700

Mailing address

4545 Point Fosdick Dr NW
Suite 215
Gig Harbor, WA 98335-1700
Phone (253) 530-8060

Other identifiers 3

IdentifierTypeStateIssuer
00AX62220MedicaidCA
8300001778OtherCARAILROAD MEDICARE
8558389MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6222CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chico Hematology Oncology Hematology & Oncology Past Accepting new patients
Capital Oncology PLLC Hematology & Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkeech82548@direct.multicare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1164426524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 POINT FOSDICK DR NW",
            "address_2": "SUITE 215",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351700",
            "telephone_number": "253-530-8060",
            "fax_number": "253-530-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POINT FOSDICK DR NW",
            "address_2": "SUITE 215",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351700",
            "telephone_number": "253-530-8060",
            "fax_number": "253-530-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEECH",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A6222",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "OP60102903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "8300001778",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8558389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.