Organization Active NPI

Jeffrey M Keegan MD PC

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1184822827
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101037924 Issued in VA
Legal business name
JEFFREY M KEEGAN MD PC
Practice address
11301 Polo PL Ste B
Midlothian, VA 23113-4803
Phone
(804) 379-9255
Fax
(804) 379-6293
NPI assigned
Jul 3, 2007
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Jeffrey Michael Keegan, M.D.NPI 1851430649
Title
M.D.
Phone
(804) 379-9255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101037924 VA Primary

Addresses

Primary practice location

11301 Polo PL Ste B
Midlothian, VA 23113-4803

Mailing address

11301 Polo PL Ste B
Midlothian, VA 23113-4803
Phone (804) 379-9255

National Provider Directory

National Provider Directory

Locations

11301 Polo Pl
Ste B
Midlothian, VA 23113
Phone (804) 379-9255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1184822827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 POLO PL STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134803",
            "telephone_number": "804-379-9255",
            "fax_number": "804-379-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 POLO PL STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134803",
            "telephone_number": "804-379-9255",
            "fax_number": "804-379-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M KEEGAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "804-379-9255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101037924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.