Organization Active NPI

Thomas M Keahey, MD, P.C.

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1669686358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD14032 Issued in DC
Legal business name
THOMAS M KEAHEY, MD, P.C.
Practice address
1120 19TH St NW
Suite 420
Washington, DC 20036-3605
Phone
(202) 452-1323
Fax
(202) 452-6822
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Marion Keahey, M.D.NPI 1437158177
Title
President
Phone
(202) 452-1323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD14032 DC Primary

Addresses

Primary practice location

1120 19TH St NW
Suite 420
Washington, DC 20036-3605

Mailing address

1120 19TH St NW
Suite 420
Washington, DC 20036-3605
Phone (202) 452-1323

Other identifiers 2

IdentifierTypeStateIssuer
0539179OtherAETNA
9456OtherBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

1120 19th St NW
Ste 420
Washington, DC 20036
Phone (202) 362-3934

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669686358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW",
            "address_2": "SUITE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363605",
            "telephone_number": "202-452-1323",
            "fax_number": "202-452-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW",
            "address_2": "SUITE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363605",
            "telephone_number": "202-452-1323",
            "fax_number": "202-452-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M KEAHEY, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEAHEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-452-1323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD14032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0539179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "9456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.