Individual provider Active NPI

Jason Wayne Keilman, ACA, NBC-HIS

  • Audiology Assistant
  • Livonia, MI
National Provider Identifier
1013411883
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
3501003237 Issued in MI
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

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
3501003237MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.