Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEOUNA PATHER MD
NPI 1770169724
Surgery in Jacksonville, FL

Q: What is Keouna Pather's NPI number?

The NPI number for Keouna Pather is 1770169724. It was assigned to this individual provider in the NPPES registry on March 21, 2021.

Q: What is Keouna Pather's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Keouna Pather was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2021

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 9, 2026, Aug 31, 2026, May 18, 2026 and 1 more (4 updates tracked since 2021).

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About Keouna Pather Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEOUNA PATHER MD (NPI 1770169724) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME184223) and active in the NPI registry since March 2021. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1770169724

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameKEOUNA PATHERCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateMarch 21, 2021

Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1770169724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME184223

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 1653 W 8th StJacksonville, FL 32209-6511 · Phone (904) 244-3903

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

Physician Assistant