Keith H Kuppler, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35045473 Issued in OH

Practice address

250 Debartolo PL
Suite 2750
Youngstown, OH 44512-7004

Phone

(330) 758-7703

Fax

(330) 758-4930

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Youngstown Ohio Physician Services Company LLC

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1013223312
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1114917432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 2750",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-758-7703",
            "fax_number": "330-758-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 2750",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-758-7703",
            "fax_number": "330-758-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPLER",
        "first_name": "KEITH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35045473",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "MD043737L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01483298",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0540025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Anna Marie Kunkle
• Betty Jo Kunselman
• Austin Kupec
• Diane Kupensky, RN CNS
• Ginger L Kupka, MSED
• Denise M. Kurelko, MA CCC-SLP, OTR/L
• Julie Ann Kusnir, COUNSELOR TRAINEE
• Gary Michael Kuszmaul, RPH
• Alannah Kutan
• Karl Seth Kuwik, M.D.

• Cardiovascular Disease Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.