Organization Active NPI

Dan Keech MD PA

  • Otolaryngology Physician
  • Athens, TX
National Provider Identifier
1255481123
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Sep 29, 2008

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
160519801MedicaidTX
160519801OtherTXTPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.