PATRICIA KEEGAN , NPI 1013305663 — SILVER SPRING (MD)

NPI 1013305663

4+ Years Experience Individual

PATRICIA KEEGAN

01.06.2015
PROVIDER ENUMERATION DATE
01.06.2015
LAST UPDATE DATE
1013305663
NPI NUMBER

About PATRICIA KEEGAN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

PATRICIA KEEGAN is a provider established in SILVER SPRING, MD. The NPI number of PATRICIA KEEGAN is 1013305663 and was assigned on 01.06.2015. The practitioners primary taxonomy code is: 207RX0202X with license number: D41222 MD .

Mailing address

  • City: SILVER SPRING
  • State: MD
  • Postal code: 209031058
  • Phone: 3017961387
  • Address: 10903 NEW HAMPSHIRE AVE BLDG 22
  • Address 2: ROOM 2328

Primary Practice Address

  • Region : SILVER SPRING, MD
  • NPI : 1013305663
  • Phone : 3017961387
  • Postalcode : 209031058
  • Address : 10903 NEW HAMPSHIRE AVE BUILDING 22, ROOM 2328

Provider taxonomy - Internal Medicine

  • Taxonomy code: 207RX0202X
  • License number: D41222
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Contacts:

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  • PATRICIA KEEGAN
  • Address : 10903 NEW HAMPSHIRE AVE BUILDING 22, ROOM 2328
  • Region : SILVER SPRING, MD
  • NPI : 1013305663
  • Phone : 3017961387
  • Postalcode : 209031058

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address10903 NEW HAMPSHIRE AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressBUILDING 22, ROOM 2328
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSILVER SPRING
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code209031058
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3017961387
The telephone number associated with the location address of the provider being identified.
NPI1013305663
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207RX0202X
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Provider Enumeration Date01.06.2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01.06.2015
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)PATRICIA KEEGAN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address10903 NEW HAMPSHIRE AVE BLDG 22
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressROOM 2328
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameSILVER SPRING
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code209031058
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3017961387
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1207RX0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Provider License Number 1D41222
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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