Active NPI
Key Clinics LLC
- Neurological Surgery Physician
- Galion, OH
National Provider Identifier
1659770709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- KEY CLINICS LLC
- Practice address
- 269 Portland Way South
North Lobby
Galion, OH 44833-2312 - Phone
- (419) 775-7440
- Fax
- (216) 916-7779
- NPI assigned
- Aug 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel D Siegal, MD
- Title
- Authorized Official
- Phone
- (419) 775-7440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
269 Portland Way South
North Lobby
Galion, OH 44833-2312
Mailing address
1284 Som Center Rd Ste 368
Mayfield Heights, OH 44124-2048
Phone (419) 775-7440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150311000354 | OH | DME Supplier - Physician - Neurosurgery | 4880812312 | Practice locations: Gallon, OH |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Key Clinics LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurological Surgery Physician
- Galion, OH
- NPI 1588072854
-
- Neurological Surgery Physician
- Galion, OH
- NPI 1851709125
Locations
24331 Chagrin Blvd
Ste 123
Beachwood, OH 44122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1659770709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1284 SOM CENTER RD STE 368",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441242048",
"telephone_number": "419-775-7440",
"fax_number": "216-916-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 PORTLAND WAY SOUTH",
"address_2": "NORTH LOBBY",
"city": "GALION",
"state": "OH",
"postal_code": "448332312",
"telephone_number": "419-775-7440",
"fax_number": "216-916-7779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY CLINICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "SIEGAL",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "419-775-7440",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.