Active NPI
Joseph Hugh Keogh, MD
- Pediatrics Physician
- Palo Alto, CA
National Provider Identifier
1578593984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 75281
- Practice address
- 1430 Parkinson Ave
Palo Alto, CA 94301-3454 - Phone
- (617) 872-5747
- Fax
- (781) 862-3005
- NPI assigned
- Jul 3, 2006
- Last updated
- May 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 75281 | MA | Primary |
Addresses
Primary practice location
1430 Parkinson Ave
Palo Alto, CA 94301-3454
Mailing address
1430 Parkinson Ave
Palo Alto, CA 94301-3454
Phone (617) 872-5747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75281 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1578593984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 PARKINSON AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943013454",
"telephone_number": "617-872-5747",
"fax_number": "781-862-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 PARKINSON AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943013454",
"telephone_number": "617-872-5747",
"fax_number": "781-862-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOGH",
"first_name": "JOSEPH",
"middle_name": "HUGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "75281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.