Keith George

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3640 Colonel Glenn Hwy
053 Student Union
Dayton, OH 45435

Phone

(937) 775-3407

NPI assigned

Dec 25, 2017

Last updated

Dec 25, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1514160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514160000000",
    "number": "1881100063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY.",
            "address_2": "117 HEALTH SCIENCES BLDG.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45435",
            "telephone_number": "937-775-3458",
            "fax_number": "937-775-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY",
            "address_2": "053 STUDENT UNION",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45435",
            "telephone_number": "937-775-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-25",
        "last_updated": "2017-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L George, MD
• Jerrin George, MD
• Joelle George
• Justin M. George, DO
• Katherine Darnette George, MSW, LISW
• Lindsay George
• Shiny George
• Ashley Victoria Geraci, PSYD
• Rodrigo Gerardo
• Verena Gerguis, PA-C

• Student in an Organized Health Care Education/Training Program in Dayton, OH
• Providers in Dayton, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2017; 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.