Colin P Kealey, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A106225 Issued in CA

Practice address

6237 Drexel Ave
Los Angeles, CA 90048-4701

Phone

(323) 491-0894

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1811150501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 DREXEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484701",
            "telephone_number": "323-491-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 DREXEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484701",
            "telephone_number": "323-491-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALEY",
        "first_name": "COLIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A106225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine C Ke, MD
• Michelle Ke, PHARMD
• Jon P Kea, M,D.
• Keagle Medical, Inc.
• Jennifer Newman Keagle, MD
• Allison J Kean, MD
• Alyssa M Keane, ACSW
• Jessica Elaine Keane, LMFT
• Michael Patrick Keane, MD
• Patricia A Keane

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.