Individual provider Active NPI

John Thomas Keenan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lehighton, PA
National Provider Identifier
1659320877
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005801 Issued in PA
Practice address
215 S 1St St
Lehighton, PA 18235-2163
Phone
(610) 377-5544
Fax
(610) 377-6744
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005801 PA Primary

Addresses

Primary practice location

215 S 1St St
Lehighton, PA 18235-2163

Mailing address

215 S 1St St
Lehighton, PA 18235-2163
Phone (610) 377-5544

Other identifiers 1

IdentifierTypeStateIssuer
1019696730001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000275 PA Practitioner - Podiatry 6800808924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Foot and Ankle Centers PC Foot & Ankle Surgery CurrentSince Dec 15, 2008 Accepting new patients
Beech Tree Podiatry, P.C. Foot & Ankle Surgery Past Accepting new patients
Twin Rivers Podiatry P a Foot & Ankle Surgery PastSince Sep 1, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/359009/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1659320877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 1ST ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352163",
            "telephone_number": "610-377-5544",
            "fax_number": "610-377-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 1ST ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352163",
            "telephone_number": "610-377-5544",
            "fax_number": "610-377-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019696730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.