Jason Robert Keonin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38989 Issued in IA

Practice address

1823 Highway Blvd
Suite 5
Spencer, IA 51301-2226

Phone

(712) 262-6320

Fax

(712) 264-3007

NPI assigned

Jun 23, 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

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

General Surgery

Education

University of Iowa, RJ & L Carver College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
• Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
• Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357
• Avera Holy Family Hospital Hospital, Estherville, IA, CCN 161351
• Pocahontas Community Hospital Hospital, Pocahontas, IA, CCN 161305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkeonin129174@direct.unitypoint.org
• Direct secure messaging: jason.keonin@nwias.directbygreenway.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.

• Lakes Regional Healthcare

  • Emergency Medicine Physician
  • Spirit Lake, IA
  • NPI 1336291160
  Medicare reassignment Care Compare group NPD
• Spencer Municipal Hospital

  • Surgery Physician
  • Spencer, IA
  • NPI 1710560180
  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Surgery

  Medicare reassignment NPD
• Northwest Iowa Surgeons PC

  • Surgery Physician
  • Spencer, IA
  • NPI 1295713261
  Medicare reassignment NPD
• Osceola Community Hospital Inc.

  • Critical Access Hospital
  • Sibley, IA
  • NPI 1780751222
  Medicare reassignment NPD
• Lakes Regional Healthcare

  • Clinic/Center
  • Spirit Lake, IA
  • NPI 1558904417
  NPD
• Lakes Regional Healthcare

  • Surgery Physician
  • Spirit Lake, IA
  • NPI 1891371001
  NPD
• Osceola Community Hospital Inc

  • Mental Health Counselor
  • Sibley, IA
  • NPI 1922746171

  Surgery

  NPD
• Spencer Municipal Hospital

  • Clinic/Center
  • Hartley, IA
  • NPI 1225767338
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Holy Family

  • Critical Access Hospital
  • Estherville, IA
  • NPI 1508810177
  Care Compare affiliation
• Lakes Regional Healthcare

  • General Acute Care Hospital
  • Spirit Lake, IA
  • NPI 1508862012
  Care Compare affiliation
• Palo Alto County Hospital

  • Critical Access Hospital
  • Emmetsburg, IA
  • NPI 1790793651
  Care Compare affiliation
• Pocahontas Community Hospital

  • Critical Access Hospital
  • Pocahontas, IA
  • NPI 1346241213
  Care Compare affiliation
• Spencer Municipal Hospital

  • Rural Acute Care Hospital
  • Spencer, IA
  • NPI 1255328621
  Care Compare affiliation
• Spencer Municipal Hospital

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1578108478

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  • Family Medicine Physician
  • Spencer, IA
  • NPI 1780062273

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  • Otolaryngology Physician
  • Spencer, IA
  • NPI 1821619479

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1790711885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 HIGHWAY BLVD",
            "address_2": "SUITE 5",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012226",
            "telephone_number": "712-262-6320",
            "fax_number": "712-264-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 HIGHWAY BLVD",
            "address_2": "SUITE 5",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012226",
            "telephone_number": "712-262-6320",
            "fax_number": "712-264-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEONIN",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "38989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorgensen Hearing Center, Inc
• Daniel L Jorgensen, MD
• Lisa Lee Jorgensen, MA
• Morganne Brielle Kabele, CRNA
• Teri Sue Kathman
• William E Kersting, LISW
• Stephen D Kitchens
• Christian Lynn Kladstrup, DO
• Amber Klynsma, LMSW, TCADC, P-CFLE
• Brenna A. Koedam, LMHC, IADC

• Surgery Physician in Spencer, IA
• Providers in Spencer, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.