Active NPI
Jason Wayne Keilman, ACA, NBC-HIS
- Audiology Assistant
- Livonia, MI
National Provider Identifier
1013411883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiology Assistant
- License
- 3501003237
- Practice address
- 10982 Middlebelt Rd
Livonia, MI 48150-3058 - Phone
- (734) 261-6300
- Fax
- (734) 261-5116
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501003237 | MI | |
| Audiology Assistant | 2355A2700X | 3501003237 | MI | Primary |
Addresses
Primary practice location
10982 Middlebelt Rd
Livonia, MI 48150-3058
Mailing address
10982 Middlebelt Rd
Livonia, MI 48150-3058
Phone (734) 261-6300
Other names 1
- Mr. Jason Wayne Keilman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501003237 | MI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keilman Hearing Center | Audiology Assistant | Current | Accepting new patients |
Locations
214 E Elm Ave
Ste 111
Monroe, MI 48162
Phone (734) 241-4080
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiology Assistant
- Canton, MI
- NPI 1679152706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1013411883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10982 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503058",
"telephone_number": "734-261-6300",
"fax_number": "734-261-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10982 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503058",
"telephone_number": "734-261-6300",
"fax_number": "734-261-5116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILMAN",
"first_name": "JASON",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "ACA, NBC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501003237",
"primary": false
},
{
"code": "2355A2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": "MI",
"license": "3501003237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "KEILMAN",
"middle_name": "WAYNE",
"prefix": "MR.",
"credential": "ACA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.