Active NPI
Stephen L Kebe, MD
- Pediatrics Physician
- Columbia, OH
National Provider Identifier
1649208489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.052735
- Practice address
- 275 S Virginia Lee Rd
Columbia, OH 43209 - Phone
- (614) 353-5701
- Fax
- (614) 871-4803
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.052735 | OH | Primary |
Addresses
Primary practice location
275 S Virginia Lee Rd
Columbia, OH 43209
Mailing address
275 S Virginia Lee Rd
Columbia, OH 43209
Phone (614) 871-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0645654 | Medicaid | OH |
Other names 1
- Stephen Louis Kebe
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephen.kebemd.p23@direct.ahni.nextgenshare.com | Direct |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.052735 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1649208489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S VIRGINIA LEE RD",
"city": "COLUMBIA",
"state": "OH",
"postal_code": "43209",
"telephone_number": "614-871-8500",
"fax_number": "614-871-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 S VIRGINIA LEE RD",
"city": "COLUMBIA",
"state": "OH",
"postal_code": "43209",
"telephone_number": "614-353-5701",
"fax_number": "614-871-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEBE",
"first_name": "STEPHEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.052735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0645654",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephen.kebemd.p23@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "4074 Gantz Rd",
"city": "Grove City",
"state": "OH",
"country_code": "US",
"postal_code": "431234816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "KEBE",
"middle_name": "LOUIS",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.