Gregory Stephen Keagy, DO

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

2008-00484 Issued in NC

Practice address

2153 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3681

Phone

(910) 672-0350

Fax

(910) 672-0355

NPI assigned

Jul 29, 2005

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gkeagy10320@capefearvalley.direct-ci.com

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.

• Capital Area Cardiovascular Surgical Institute

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Camp Hill, PA
  • NPI 1619926482
  NPD (past)
• Genesis Professional Corp

  • General Practice Physician
  • Zanesville, OH
  • NPI 1497755623

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1699775825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043681",
            "telephone_number": "910-672-0350",
            "fax_number": "910-672-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043681",
            "telephone_number": "910-672-0350",
            "fax_number": "910-672-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAGY",
        "first_name": "GREGORY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "34003768",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2008-00484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2467272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandeep Kaur, M.D.
• Joseph Higgins Kavanaugh
• Marisa Kawabe
• Fola Kayode, MSW, PLCSW
• KB Community Care Transit
• Tiffany A. Kearse, LCSWA
• Lokesh Kebbehundi Marigowda, MD
• Kebe Cares Inc
• Phillipe Kebreau, RRT
• Taylor Keegan

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.