DR. JENNIFER NEWMAN KEAGLE MD NPI 1154434306

NPI Information

NPI: 1154434306
Provider Name: DR. JENNIFER NEWMAN KEAGLE, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2400 S FLOWER ST
FOURTH FLOOR
LOS ANGELES, CA
ZIP 90007
Phone: (213) 742-1433
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DR. Jennifer Newman Keagle, MD is a plastic and reconstructive surgery surgery in Los Angeles, CA with 28 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jennifer Newman Keagle, MD NPI is 1154434306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1996

The provider's business location address is:

2400 S FLOWER ST
FOURTH FLOOR
LOS ANGELES, CA
ZIP 90007
Phone: (213) 742-1433

The NPI 1154434306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 6/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		MD00046842	WASHINGTON	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	A64773	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A647730	OTHER	CALIFORNIA	MEDICAL PPIN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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