John Paul Keenan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20549 Issued in OK

Practice address

2401 NW 23Rd St
Suite 1a
Oklahoma City, OK 73107-2442

Phone

(405) 522-7176

Fax

(405) 530-3245

NPI assigned

Jun 1, 2005

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• National Family Medical Associates, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1427050657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 ROCKPORT WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138639",
            "telephone_number": "405-844-6483",
            "fax_number": "405-844-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST",
            "address_2": "SUITE 1A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072442",
            "telephone_number": "405-522-7176",
            "fax_number": "405-530-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "20549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keeling Dental South
• Nicholas Edward Keeling, DDS
• Angelica Keels
• Kelly Dawn Keely, BA, BHRS
• Jade Keen
• Megan M Keenan I, DNP, APRN-CNP
• Ross Stanford Keener, M.D.
• C'Trina Bee Keepers, LMT
• Grace Keese
• Thomas J. Keese, MSHIM, BSN, RN

• Ophthalmology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.