Jason C Keith, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35071465 Issued in OH

Practice address

6075 E Broad St
Columbus, OH 43213-5131

Phone

(614) 864-6363

Fax

(614) 864-2248

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkeith@cosadocs.gwaydirect.com

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.

• Central Ohio Surgical Associates

  • Surgery Physician
  • Columbus, OH
  • NPI 1780994970
  Medicare reassignment NPD
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Mount Carmel Health System

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1457617235

  Surgery

  NPD
• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Metropolitan Surgery, Inc

  • Surgery Physician
  • Columbus, OH
  • NPI 1043278633
  NPD (past)
• Mount Carmel Health

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1184646705
  NPD (past)
• Mount Carmel Health

  • Hospitalist Physician
  • Columbus, OH
  • NPI 1932120268
  NPD (past)
• Trauma & Critical Care Surgeons, LLC

  • Personal Emergency Response Attendant
  • Columbus, OH
  • NPI 1386976462
  NPD (past)
• Trauma Associates Inc

  • Personal Emergency Response Attendant
  • Columbus, OH
  • NPI 1881608164
  NPD (past)
• Trauma Inc.

  • Personal Emergency Response Attendant
  • Columbus, OH
  • NPI 1922149871
  NPD (past)
• Victor Dizon, D.O., Facos, Inc

  • Trauma Surgery Physician
  • Columbus, OH
  • NPI 1902294556
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1740208511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 N Meadows Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232546",
            "country_code": "US",
            "telephone_number": "614-864-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35071465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "000000188223",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7231123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "1701506",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibrahima Kalissou Keita
• Mathew Keitany
• Steve Keiter
• Alexandra Keith, OTD
• Brittanni Keith
• Katherine Keith, RN
• Paulette Kelbley, OD
• Allison Kelch, RNFA
• Emily Anne Kelch
• Anandanee Dilukshi Kelegama, MD

• Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.