Mary Anne Kegley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G87180 Issued in CA

Practice address

4492 Granger St
Aesclepius -Mary Anne Kegley MD Inc
San Diego, CA 92107

Phone

(276) 608-1314

NPI assigned

Aug 31, 2006

Last updated

May 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mary Anne Kegley Other name

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.

• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1659482420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD STE 402D",
            "address_2": "DESERT OASIS HEALTHCARE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-320-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 GRANGER ST",
            "address_2": "AESCLEPIUS -MARY ANNE KEGLEY MD INC",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92107",
            "telephone_number": "276-608-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101048930",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G87180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KEGLEY",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey S Keeny, DDS
• Alexandros Kefalas
• Gus W. Kefalopoulos, M.D.
• Stephanie Nicole Keffer, MS, CCC-SLP
• Bahghi Russom Keflezighi, MD
• Elai Kehler, RBT
• Celeste Kehoe, PMHNP
• Grace N Kehoe
• Katrina Kehoe, CRNA
• McKenzie Darlene Kehr, DPT

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.