Robert D Keighley, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34-003786 Issued in OH

Practice address

829 Timberlake CT
Dayton, OH 45429-3495

Phone

(419) 236-3315

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Joint Township District Memorial Hospital

  dba Grand Lake Hospice

  • Community Based Hospice Care Agency
  • Saint Marys, OH
  • NPI 1215077870

  Operational/Managerial Control

  CMS ownership

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Wheatland Dermatology LLC

  • Dermatology Physician
  • Saint Marys, OH
  • NPI 1477931608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1053320176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S KNOXVILLE AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852622",
            "telephone_number": "419-394-3333",
            "fax_number": "419-394-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 TIMBERLAKE CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293495",
            "telephone_number": "419-236-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIGHLEY",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-003786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keep Moving Forward Counseling & Consulting LLC
• Angela Marie Keeton, FNP
• Beatrice Keeton, LSW
• Chassity Kendal Keeton
• Preston Keiffer
• Kay Lorraine Kelbley, I.0008635-SUPV
• Brandy Rene'E Kellar
• Sean Patrick Kelleher, M.D.
• Tiffany Keller-Hale, RN
• Christina Keller

• Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.