Patrick Keehan DO PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PATRICK KEEHAN DO PA

Practice address

4625 Saint Amand Cir
Fort Worth, TX 76126-1908

Phone

(817) 769-3603

Fax

(817) 348-0113

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Keehan, DONPI 1366773889

Title

Dermatologist

Phone

(415) 802-1310

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Patrick Keehan, D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1366773889
  Medicare reassignment Care Compare group NPD Authorized official
• Mallory Lambert Carletti, PA-C

  • Physician Assistant
  • Keller, TX
  • NPI 1134593957
  Medicare reassignment Care Compare group
• Morgan Thelen, PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1568228989
  Medicare reassignment Care Compare group
• Michelle Brannan, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1588096028
  Medicare reassignment
• Tonya A Khan, P.A.

  • Physician Assistant
  • Weatherford, TX
  • NPI 1619078375
  Medicare reassignment

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1811533805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 CAMP BOWIE BLVD STE B",
            "address_2": "#340",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165486",
            "telephone_number": "817-769-3603",
            "fax_number": "817-348-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 SAINT AMAND CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761261908",
            "telephone_number": "817-769-3603",
            "fax_number": "817-348-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK KEEHAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "KEEHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "415-802-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366773889",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Charles LLC
• Patricia Roberts Harris DO PLLC
• Lum Nde Patricia
• Patrick Chen, M.D.,P.a.
• Patrick Donovan MD PA
• Patrick Walsh MD Professional Association
• Bethany Patrick
• Courtney Marie Patrick, MA, CRC, LPC
• Paul Lyndon Patrick, D.O.
• Rahmeka Patrick, LPC

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.