Active NPI
W Alan Keogh, DO
- Hematology & Oncology Physician
- Upland, PA
National Provider Identifier
1205827730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- OS0003816L
- Practice address
- 1 Medical Center Blvd
Ste 341
Upland, PA 19013-3902 - Phone
- (610) 619-7420
- Fax
- (610) 876-6923
- NPI assigned
- Nov 3, 2005
- Last updated
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | OS0003816L | PA | Primary |
| Hematology & Oncology Physician | 207RH0003X | 25MB07696300 | NJ | |
| Hematology & Oncology Physician | 207RH0003X | C20009108 | DE |
Addresses
Primary practice location
1 Medical Center Blvd
Ste 341
Upland, PA 19013-3902
Mailing address
5 Kirkcaldy Dr
West Chester, PA 19382-7285
Phone (610) 619-7420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001146510-0002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0003816L | PA | MD | Hematology & Oncology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Upland, PA
- NPI 1891771044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1205827730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 KIRKCALDY DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193827285",
"telephone_number": "610-619-7420",
"fax_number": "610-876-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "STE 341",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-619-7420",
"fax_number": "610-876-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOGH",
"first_name": "W ALAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "OS0003816L",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "25MB07696300",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "DE",
"license": "C20009108",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001146510-0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.