Jeffrey Jay Kiel, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

JK010369 Issued in MI

Practice address

2030 S Straits Hwy
Indian River, MI 49749-9792

Phone

(231) 649-0935

NPI assigned

Aug 25, 2005

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1316968043

  Internal Medicine

  NPD (past)
• Northwoods Ear, Nose & Throat PC

  • Facial Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1356394803
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720071657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499792",
            "telephone_number": "231-649-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499792",
            "telephone_number": "231-649-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "JEFFREY",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JK010369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kane RX Inc (Modern Rx)
• Kerri Anne Katona, PA-C
• Michael D Katona, NP
• Tammy Sue Kauffman, EMT/PHLEBOTOMIST
• Robert Clair Kenny, DC
• Seth William King, BCHHP
• Katherine Klose, DPT
• Julie Kolly
• Marcia Margaret Kosovec, LPC
• Janet Marie Ladere, LMSW

• Internal Medicine Physician in Indian River, MI
• Providers in Indian River, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.