Jack E. Keiser,Jr.,M.D.,PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

137461 Issued in NY

Legal business name

JACK E. KEISER,JR.,M.D.,PC

Practice address

50 Brookhollow Dr
Auburn, NY 13021-9654

Phone

(315) 252-0200

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack E Keiser Jr., M.D.NPI 1548295801

Title

Ceo/Urologist

Phone

(315) 253-2785

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack E Keiser Jr., MD

  • Urology Physician
  • Auburn, NY
  • NPI 1548295801
  NPD (past) Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1154518231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROOKHOLLOW DR",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219654",
            "telephone_number": "315-252-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROOKHOLLOW DR",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219654",
            "telephone_number": "315-252-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK E. KEISER,JR.,M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/UROLOGIST",
        "authorized_official_telephone_number": "315-253-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "137461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00468575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Waqas Iqbal, M.D.
• Chakrapani Irri, M.D.
• Linda Dawn Isgar, RPH
• Abbas Ispahani, MD
• J. Richard Lesch, DDS PC
• Jasmine Jackson
• James M Swartz PT
• Jennifer Elizabeth Janas
• Jang Boo CHI MD PC
• John Louis Janowski, CRNA

• Urology Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.