Active NPI
Thomas M Keahey, MD, P.C.
- Dermatology Physician
- Washington, DC
National Provider Identifier
1669686358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD14032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Marion Keahey, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0539179 | Other | AETNA | |
| 9456 | Other | BLUECROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Procedural Dermatology Physician
- Montgomery Village, MD
- NPI 1437158177
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": []
}
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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.