Thomas M. Keahey, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

DOO29621 Issued in MD

Practice address

19221 Montgomery Village Ave
C-12
Montgomery Village, MD 20886-5022

Phone

(301) 840-2266

Fax

(301) 840-5879

NPI assigned

Jul 15, 2005

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 and National Provider Directory roles.

• Thomas M Keahey, MD, P.C.

  • Dermatology Physician
  • Washington, DC
  • NPI 1669686358
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1437158177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "STE 370",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506237",
            "telephone_number": "240-246-7417",
            "fax_number": "240-477-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 MONTGOMERY VILLAGE AVE",
            "address_2": "C-12",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865022",
            "telephone_number": "301-840-2266",
            "fax_number": "301-840-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAHEY",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "DOO29621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758331100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joyal, FNP-C
• Ashley Jung
• Kaa Dental LLC (Montgomery Dental MD)
• Tamanna Karim, MD
• Ronna Ross Keagle, DPT
• Kehinde Osunsan, DDS, P.C.
• Sherwin Alan Kevy, D.D.S.
• King Chiropractic
• King Chiropractic of Urbana
• Marie Pilar Kosinski, PHARMD

• Procedural Dermatology Physician in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Procedural Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.