Individual provider Active NPI

Christopher John Keirns, D.O.

  • Internal Medicine Physician
  • Wright-Patterson Afb, OH
National Provider Identifier
1275638116
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-008536 Issued in OH
Practice address
2495 Fifth Street
Usafsam/Feci
Wright-Patterson Afb, OH 45433-7913
Phone
(937) 938-2754
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-008536 OH Primary

Addresses

Primary practice location

2495 Fifth Street
Usafsam/Feci
Wright-Patterson Afb, OH 45433-7913

Mailing address

2495 Fifth Street
Usafsam/Feci
Wright-Patterson Afb, OH 45433-7913
Phone (937) 938-2754

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-008536OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1275638116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 FIFTH STREET",
            "address_2": "USAFSAM/FECI",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337913",
            "telephone_number": "937-938-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 FIFTH STREET",
            "address_2": "USAFSAM/FECI",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337913",
            "telephone_number": "937-938-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIRNS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-008536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright-Patterson Afb, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.