J. Randall Keifer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50001816 Issued in OH

Practice address

1343 N Fountain Blvd
Springfield, OH 45504-1422

Phone

(937) 390-5000

Fax

(937) 390-5526

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Greenville Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Greenville, OH
  • NPI 1427146638
  NPD
• Hospital Services Medical Group of Clark County Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1588659841
  NPD (past)
• Mary Rutan Hospital

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)
• Spfld Urb Emergency Physicians Inc

  • Emergency Medicine Physician
  • Urbana, OH
  • NPI 1407858871
  NPD (past)
• Spfld Urb Emergency Physicians Inc

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1679574552
  NPD (past)
• Springfield Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1407810534
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1174575641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-390-5000",
            "fax_number": "937-390-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIFER",
        "first_name": "J.",
        "middle_name": "RANDALL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00034014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Kearfott, MD
• Mary M Keefe
• Kailey Keener
• Stephanie Keeton
• William Keeton
• Holly Rae Kellis, LPN
• Melissa Ann Kellis, CNP
• Scott Klement Kellogg, D.O.
• Brooke G Kelly, RN
• Kahlin Kelly

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.