THOMAS J. KEENAN (NPI# 1700809316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809316 |
| Entity Type | Individual |
| Full Name | THOMAS J. KEENAN |
| Credential | M.D. |
| Practice Address |
946 Tuckertown Rd # F Wakefield RI 02879-2732 |
| Practice Telephone | 4017830874 |
| Mailing Telephone | 4017830874 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
33817 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2018853 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285912402 | Thomas D Keenan | Dermatology | 1 S Park St, 7th Floor, Department of Dermatology,university of Wisconsin, Madison, WI 53715-0001 | 2011-07-22 |
| 1083606123 | Thomas J Keenan Iv | Optometrist | 1627 Midland Trl, Shelbyville, KY 40065-1638 | 2005-08-16 |
| 1740563147 | Thomas Michael Keenan | Pharmacist | 21 Joyce St, Lynn, MA 01902-3636 | 2011-09-21 |
| 1164456307 | Thomas P Keenan | Ophthalmology | 302 S Cameron St, Winchester, VA 22601-4603 | 2006-07-11 |
| Street Address |
946 TUCKERTOWN RD # F |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1831364538 | South County Hospital Dba Silver Springs Healthcare Management | Internal Medicine | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2008-04-24 |
| 1063638096 | Aaron Weisbord | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2007-04-18 |
| 1316976780 | Neil Brandon | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-30 |
| 1396771937 | Steven Raymond Fera | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-24 |
| 1710913868 | David Scott Bader | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-23 |
| 1083652408 | David J Broza | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336381904 | Michael Wu | Internal Medicine | 950 Warren Ave Ste 201, East Providence, RI 02914-1432 | 2009-03-29 |
| 1902052558 | T.w. Tschirley Md Inc | Internal Medicine | 1524 Atwood Ave Ste 434, Johnston, RI 02919-3228 | 2008-08-14 |
| 1427210251 | John Rodriguez | Internal Medicine | 68 Cumberland St Ste 103, Woonsocket, RI 02895 | 2008-07-02 |
| 1689836371 | Katharine A. French | Internal Medicine | 950 Warren Ave Fl 2, East Providence, RI 02914-1432 | 2008-06-25 |
| 1265621460 | Gideon Koren | Internal Medicine | Rih, 1 Hoppin Street, Providence, RI 02903 | 2007-10-24 |
| 1134315567 | David B Pomfret | Internal Medicine | 20 Grey Gull Rd, Jamestown, RI 02835-2808 | 2007-09-19 |
| 1679792865 | Kenneth Baxter Nanian | Internal Medicine | 201 Tanglewood Dr, East Greenwich, RI 02818-2215 | 2007-04-25 |
| 1417085622 | Laboratorio Cardiovascular De P.r. | Internal Medicine | 391 Sargento Luis Medina Street, La Merced, San Juan, RI 00918 | 2007-03-01 |
| 1003921693 | Mario Tami | Internal Medicine | 1264 Smith St, Providence, RI 02908 | 2006-08-21 |
| 1205942646 | David J Fortunato | Internal Medicine | 75 S Union St, Unit 406, Pawtucket, RI 02860-3978 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
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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.