Active NPI
Jeffrey A Keyser, DO
- Surgery Physician
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS-004694L
- Practice address
- 804 Grandview Dr Ste 2
Ephrata, PA 17522 - Phone
- (717) 466-2500
- Fax
- (717) 733-7865
- NPI assigned
- Aug 24, 2005
- Last updated
- Aug 20, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS-004694L | PA | Primary |
Addresses
Primary practice location
804 Grandview Dr Ste 2
Ephrata, PA 17522
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 733-4644
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50009561 | Other | CAPITAL BLUE CROSS PA | |
| 067541 | Other | MEDICARE GROUP | |
| 20020200 | Other | MERCY HEALTH PLAN PA | |
| 60116300 | Other | THREE RIVERS HEALTH PLAN | |
| 7107465 | Other | AETNA USHC NONHMO | |
| 9338687 | Other | CIGNA PA | |
| 09786390009 | Medicaid | PA | |
| 1458636 | Other | KEYSTONE CENTRAL PA | |
| 3101927 | Other | AETNA USHC HMO | |
| 427186 | Other | BLUE SHIELD OF PA | |
| 0078174890004 | Medicaid | PA | |
| 2144133000 | Other | KEYSTONE EAST PA | |
| 50009554 | Other | CAPITAL BLUE CROSS PA | |
| 020054619 | Other | RAILROAD MEDICARE | |
| PA0008 | Other | RAILROAD MEDICARE | |
| 1528721 | Other | GATEWAY PA | |
| KE1458636 | Other | BLUE SHIELD OF PA | |
| 20020196 | Other | MERCY HEALTH PLAN PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-004694L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephrata Community Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Ephrata Community Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Chet Phitayakorn, MD PC | Past | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
175 Martin Ave
Ste 125
Ephrata, PA 17522
175 Martin Ave
Ste 355
Ephrata, PA 17522
Phone (717) 733-4667
804 Grandview Dr
Ste 2
Ephrata, PA 17522
Phone (717) 466-2500
804 Grandview Dr
Ste 3
Ephrata, PA 17522
Phone (717) 721-6994
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Ephrata, PA
- NPI 1245377191
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Ephrata Community Hospital
- Certified Registered Nurse Anesthetist
- Ephrata, PA
- NPI 1063559912
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Family Medicine-Manheim
- Family Medicine Physician
- Manheim, PA
- NPI 1902210289
-
- Vascular Surgery Physician
- Clairton, PA
- NPI 1023039229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1346233400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-733-4644",
"fax_number": "717-733-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 GRANDVIEW DR STE 2",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-466-2500",
"fax_number": "717-733-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYSER",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OS-004694L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS PA",
"identifier": "50009561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "067541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN PA",
"identifier": "20020200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "60116300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC NONHMO",
"identifier": "7107465",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PA",
"identifier": "9338687",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09786390009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL PA",
"identifier": "1458636",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "3101927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "427186",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078174890004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST PA",
"identifier": "2144133000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS PA",
"identifier": "50009554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020054619",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PA0008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY PA",
"identifier": "1528721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "KE1458636",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN PA",
"identifier": "20020196",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.