Active NPI
Dan Keech MD PA
- Otolaryngology Physician
- Athens, TX
National Provider Identifier
1255481123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- DAN KEECH MD PA
- Practice address
- 1701 S Palestine St Ste B
Athens, TX 75751-8951 - Phone
- (903) 675-2222
- Fax
- (903) 675-1838
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerri Melissa Keech
- Title
- Practice Administrator
- Phone
- (903) 675-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1701 S Palestine St Ste B
Athens, TX 75751-8951
Mailing address
1701 S Palestine St Ste B
Athens, TX 75751-8951
Phone (903) 675-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160519801 | Medicaid | TX | |
| 160519801 | Other | TX | TPI |
National Provider Directory
National Provider DirectoryLocations
1701 S Palestine St
Ste B
Athens, TX 75751
Phone (903) 675-2222
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.
-
- Otolaryngology Physician
- Silverdale, WA
- NPI 1629128699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1255481123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S PALESTINE ST STE B",
"city": "ATHENS",
"state": "TX",
"postal_code": "757518951",
"telephone_number": "903-675-2222",
"fax_number": "903-675-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S PALESTINE ST STE B",
"city": "ATHENS",
"state": "TX",
"postal_code": "757518951",
"telephone_number": "903-675-2222",
"fax_number": "903-675-1838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN KEECH MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "KEECH",
"authorized_official_first_name": "KERRI",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "903-675-2222"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160519801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI",
"identifier": "160519801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.