DR. JONATHAN LEE KEELING (NPI# 1770605172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770605172 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN LEE KEELING |
| Credential | D.O. |
| Practice Address |
120 N Eagle Creek Dr Lexington KY 40509-1827 |
| Mailing Address |
120 N Eagle Creek Dr Ste 360 Lexington KY 40509-1827 |
| Practice Telephone | 8592585270 |
| Practice Fax Number | 8592585202 |
| Mailing Telephone | 8592585270 |
| Mailing Fax Number | 8592585202 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS9677 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000076700 | 05 | |
| FL | CAQH ID | 11858020 | 01 |
| Street Address |
120 N EAGLE CREEK DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881919 | Ricky D. Isernhagen | Ophthalmology | 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 | 2005-06-15 |
| 1992336036 | Lindsey Tong | Social Worker | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2020-01-28 |
| 1144710419 | Kaci M Wathen | Audiologist | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2018-05-13 |
| 1023427507 | Palak B Wall Md Pllc | Ophthalmology | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2014-08-08 |
| 1821424722 | Jessica M Bezner | Optometrist | 120 N Eagle Creek Dr, Ste 431, Lexington, KY 40509-1827 | 2013-09-24 |
| 1518222959 | Agata M Toborek | Pediatrics | 120 N Eagle Creek Dr, Ste 250, Lexington, KY 40509-1827 | 2012-07-11 |
| 1760747141 | Cgg Internal Medicine | Clinic/Center | 120 N Eagle Creek Dr, Suite321, Lexington, KY 40509-1827 | 2012-07-11 |
| 1023316890 | Lisa K Caldwell | Nurse Practitioner | 120 N Eagle Creek Dr, Ste 101, Lexington, KY 40509-1827 | 2011-03-03 |
| 1992008353 | Megan L Settles | Physician Assistant | 120 N Eagle Creek Dr, Suite 360, Lexington, KY 40509-1827 | 2010-12-07 |
| 1336469444 | Blake Isernhagen | Ophthalmology | 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
| 1255389425 | Jill Rebecca Slater-freedberg | Dermatology | 57 Bedford Street, Lexington Waltham Dermatology, Lexington, MA 02420-4500 | 2006-05-04 |
| 1114991296 | Clifton Smith | Dermatology | 177 Burt Rd, Lexington, KY 40503-2410 | 2006-02-15 |
| 1477559128 | Commonwealth Dermatology Psc | Dermatology | 2351 Huguenard Dr, Ste 200, Lexington, KY 40503-3022 | 2005-06-27 |
| 1558364976 | Fernando R. De Castro | Dermatology | 250 Fountain Ct, Lexington, KY 40509-1888 | 2005-05-31 |
| 1497758866 | William Patrick Davey | Dermatology | 2424 Harrodsburg Rd, Suite 200, Lexington, KY 40503-2106 | 2005-05-31 |
| 1699382507 | Modern Dermatology of Kentucky LLC | Dermatology | 177 Burt Rd, Lexington, KY 40503-2457 | 2020-09-24 |
| 1629497714 | Skinmd | Dermatology | 989 Governors Ln, Suite 220, Lexington, KY 40513-1173 | 2014-04-16 |
| 1619396439 | Audra Isaac Grossman | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503 | 2014-04-09 |
| 1154767457 | James Prewitt Lagrew | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503-2112 | 2013-05-14 |
| Find all providers in LEXINGTON | ||||
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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.