Jacob Keilholz, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

2000050719 Issued in OH

Practice address

6955 Hospital Dr
Dublin, OH 43016-8580

Phone

(614) 566-3489

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1326871872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 ASTOR PLACE DR APT 307",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430541178",
            "telephone_number": "419-206-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 HOSPITAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168580",
            "telephone_number": "614-566-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILHOLZ",
        "first_name": "JACOB",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "OH",
            "license": "2000050719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Keener
• Rachel Keener
• Lisa Maria Kehle, LISW
• Kristina Kehoe
• Amanda Keil, DPT
• Katrina Kay Keim, RD LD
• Molly Beth Keith, PSYD
• Christine Keller
• Kristen M Keller
• Lisbeth Kelley-Matthews, BSN,RN

• Sports Medicine (Emergency Medicine) Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Sports Medicine (Emergency Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.