Active NPI
Harvey C Kiley, D.O.
- General Practice Physician
- Waynesville, OH
National Provider Identifier
1336458744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34-001397
- Practice address
- 3063 Harveysburg Rd
Waynesville, OH 45068-9420 - Phone
- (937) 725-5006
- NPI assigned
- Oct 2, 2010
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 34-001397 | OH | Primary |
Addresses
Primary practice location
3063 Harveysburg Rd
Waynesville, OH 45068-9420
Mailing address
2413 Briggs Rd
Dayton, OH 45459-6642
Phone (937) 684-0104
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-001397 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Home Visits LLC | Past | Accepting new patients | |
| Clarksville Family Practice LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Clarksville, OH
- NPI 1942754429
-
- Family Nurse Practitioner
- Waynesville, OH
- NPI 1245426451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285977600000",
"number": "1336458744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 BRIGGS RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454596642",
"telephone_number": "937-684-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 HARVEYSBURG RD",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450689420",
"telephone_number": "937-725-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILEY",
"first_name": "HARVEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-02",
"last_updated": "2010-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34-001397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.