Active NPI
Jerome McKeiver III, ATC, CEAS I
- Athletic Trainer
- Lansdale, PA
National Provider Identifier
1316358104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1758 Allentown Rd
Lansdale, PA 19446-4060 - Phone
- (855) 215-2477
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1758 Allentown Rd
Lansdale, PA 19446-4060
Mailing address
10 Mercer PL
Ocean City, NJ 08226-3407
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1316358104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MERCER PL",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "082263407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1758 ALLENTOWN RD",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194464060",
"telephone_number": "855-215-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEIVER",
"first_name": "JEROME",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "ATC, CEAS I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.