KJB Proctology, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

34.009849 Issued in OH

Legal business name

KJB PROCTOLOGY, LLC

Practice address

5580 Hilliard Rome Office Park
Hilliard, OH 43026-7286

Phone

(614) 921-8686

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Price, D.O.

Title

Owner

Phone

(614) 921-8686

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Paul Reed, D.O.

  • Colon & Rectal Surgery Physician
  • Dublin, OH
  • NPI 1811198583
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1386954899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267286",
            "telephone_number": "614-921-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJB PROCTOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-921-8686",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34.009849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samar Khan
• Zara Khan, QBHS
• Angela Kidd
• Min Kim, ANP-BC
• Karen Guss King, M.D.
• Heide Irene Klumpp, PHD
• Heather Knapp
• Richard R Kneisley
• Laura Mischelle Knetsche, MSW, LISW
• Knight Osteopathic Healing Center, LLC

• Colon & Rectal Surgery Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Colon & Rectal Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.