{"npi":"1811533805","type":"NPI-2","status":"active","name":{"display":"Patrick Keehan DO PA","other":[],"organization_name":"PATRICK KEEHAN DO PA","authorised_official":"Patrick Keehan"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4625 SAINT AMAND CIR","city":"FORT WORTH","state":"TX","postal_code":"761261908","country_code":"US","phone":"8177693603","fax":"8173480113"},{"purpose":"MAILING","street_1":"6387 CAMP BOWIE BLVD STE B","city":"FORT WORTH","state":"TX","postal_code":"761165486","country_code":"US","street_2":"#340","phone":"8177693603","fax":"8173480113"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1366773889","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200422002649","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"6406286095"}]},"enumeration_date":"2019-11-25","last_updated":"2025-03-26","_meta":{"source":"NPPES","snapshot_date":"2025-03-26","doc_url":"https://findmynpi.com/api"}}