Active NPI
Donald Raymond Kiser, D.O.
- Family Medicine Physician
- Marietta, OH
National Provider Identifier
1356479646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-006053
- Practice address
- 1001 Pike St
Suite 3
Marietta, OH 45750-3515 - Phone
- (740) 376-0060
- Fax
- (740) 376-0062
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-006053 | OH | Primary |
Addresses
Primary practice location
1001 Pike St
Suite 3
Marietta, OH 45750-3515
Mailing address
1001 Pike St
Suite 3
Marietta, OH 45750-3515
Phone (740) 376-0060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041820-000 | Medicaid | WV | |
| 0898622 | Medicaid | OH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-006053 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| Williamson Memorial Hospital LLC | Family Medicine | 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.
-
- Family Medicine Physician
- Williamson, WV
- NPI 1639122690
-
- General Acute Care Hospital
- Williamson, WV
- NPI 1275528614
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356479646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PIKE ST",
"address_2": "SUITE 3",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503515",
"telephone_number": "740-376-0060",
"fax_number": "740-376-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PIKE ST",
"address_2": "SUITE 3",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503515",
"telephone_number": "740-376-0060",
"fax_number": "740-376-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "DONALD",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-006053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041820-000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0898622",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.