MR. MICHAEL THOMAS KEEGAN JR. (NPI# 1548519143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548519143 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS KEEGAN JR. |
| Credential | PA-C |
| Practice Address |
3800 Reservoir Rd, Nw Washington DC 20007 |
| Mailing Address |
3300 Gallows Rd Falls Church VA 22042-3307 |
| Practice Telephone | 2024448830 |
| Mailing Telephone | 7037764001 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004958 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C04749 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA030821 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417357906 | Michael Sean Keegan | Counselor | 10938 W Manzanita Dr, Peoria, AZ 85345-0401 | 2014-09-03 |
| 1255742896 | Michael Keegan | Counselor | 1400 112th Ave Se, Ste 202, Bellevue, WA 98004-6901 | 2014-05-16 |
| 1235561747 | Michael Christian Keegan | Nurse Practitioner | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2013-08-07 |
| 1992774442 | Michael T Keegan | Internal Medicine | 5550 Friendship Blvd, Suite T-90, Chevy Chase, MD 20815-7256 | 2006-03-16 |
| Street Address |
3800 RESERVOIR RD, NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841556925 | Kacie Jackson Saulters | Hospitalist | 3800 Reservoir Rd, Nw, Room G-3041, Washington, DC 20007 | 2012-04-03 |
| 1679969646 | Amelia Carwin | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd, Nw, Pasquerilla Healthcare Center, 7th Floor, Washington, DC 20007 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.