Keagle Medical, Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A64773 Issued in CA

Legal business name

KEAGLE MEDICAL, INC.

Practice address

2614 Arthur St Ste C
Los Angeles, CA 90065-3990

Phone

(213) 250-1300

Fax

(213) 559-9473

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Newman Keagle, M.D.NPI 1154434306

Title

President

Phone

(213) 505-6012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Newman Keagle, MD

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1154434306
  Medicare reassignment NPD Authorized official
• Sybille Katrin Gorn, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1811024037
  NPD (past)
• Anita C Patel, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1073707881
  NPD (past)
• Jeffrey L Rosenberg, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1407906456
  NPD (past)
• Libby Fleischer Wilson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1568405546
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1770720641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 ARTHUR ST STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653990",
            "telephone_number": "213-250-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 ARTHUR ST STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653990",
            "telephone_number": "213-250-1300",
            "fax_number": "213-559-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAGLE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "KEAGLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NEWMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-505-6012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A64773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kdoc Inc
• Dong Qing Ke, ACUPUNCTURIST
• Jasmine C Ke, MD
• Michelle Ke, PHARMD
• Jon P Kea, M,D.
• Jennifer Newman Keagle, MD
• Colin P Kealey, MD
• Allison J Kean, MD
• Alyssa M Keane, ACSW
• Jessica Elaine Keane, LMFT

• Plastic and Reconstructive Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.