DR. DOUGLAS LEE KEAGLE (NPI# 1699780023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699780023 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS LEE KEAGLE |
| Credential | D.O. |
| Practice Address |
1501 Lansdowne Ave Suite 101 Darby PA 19023-1333 |
| Mailing Address |
1503 Lansdowne Ave Suite 3003 Darby PA 19023-1330 |
| Practice Telephone | 6105346310 |
| Practice Fax Number | 6105346350 |
| Mailing Telephone | 6105346310 |
| Mailing Fax Number | 6105346350 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS003117L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1501 LANSDOWNE AVE SUITE 101 |
| City | DARBY |
| State | PA |
| Zip Code | 19023-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401752 | Joseph D Rondeau | Podiatrist | 1501 Lansdowne Ave, Suite 103, Darby, PA 19023-1333 | 2005-07-14 |
| 1275059651 | Mercy Management of Sepa | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-08-17 |
| 1851814685 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-24 |
| 1427570019 | Mercy Management of Southeastern Pennsylvania | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-14 |
| 1871031666 | Pa Rehab Associates | Non-Pharmacy Dispensing Site | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2017-02-01 |
| 1770033979 | Emily Lacek | Physician Assistant | 1501 Lansdowne Ave, Suite 205, Darby, PA 19023-1333 | 2016-10-11 |
| 1437548047 | Southeast Pennsylvania Surgical Associates | Surgery | 1501 Lansdowne Ave, Suite 207, Darby, PA 19023-1333 | 2015-01-20 |
| 1477841492 | Tina Hedayat | Internal Medicine | 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333 | 2011-07-11 |
| 1205130689 | Richard A Seifert Md PC | Internal Medicine | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2010-12-29 |
| 1023241809 | Hanh Pham | Physician Assistant | 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333 | 2009-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194178004 | Peter Clark Lambert | Internal Medicine | 1500 Lansdowne Ave # 610-23, Darby, PA 19023-1200 | 2016-07-14 |
| 1184903783 | Sonaly Patel | Internal Medicine | 1501 Lansdowne Ave Fl 1, Darby, PA 19023-1333 | 2011-08-12 |
| 1467431775 | Joseph W Smiley | Internal Medicine | 1501 Lansdowne Ave Suite 201, Darby, PA 19023-1333 | 2006-01-13 |
| 1336757996 | Abhigna Uday Kumar Kulkarni | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-20 |
| 1083237937 | Kevin Ernest Leahy | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-05-27 |
| 1811518327 | Udunma Nduka Ikoro | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-05-06 |
| 1396239281 | Thomas Jayan Alukal | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-06-14 |
| 1942720883 | Sarthak Sahu | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2017-06-21 |
| 1902333487 | Vincent Salvatore Mirabile | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2017-05-16 |
| 1215462957 | Lauren D Gotay | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2017-05-01 |
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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.