Individual provider Active NPI

Douglas Keyser, M.D.

  • Radiation Oncology Physician
  • Canton, OH
National Provider Identifier
1902831688
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35 063249 Issued in OH
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(330) 363-6201
Fax
(330) 454-9397
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35 063249 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 363-6201

Other identifiers 1

IdentifierTypeStateIssuer
0235347MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110104000642 OH Practitioner - Radiation OncologyPractitioner - Internal Medicine 0345439568 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

807 Farson St
Suite 116
Belpre, OH 45714-1068
Phone (740) 376-1960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 063249OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Mar 31, 2023 Accepting new patients
Triad Health Services, LLC CurrentSince Feb 15, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Stark Radiation Oncology Incorporated Radiation Oncology Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 15, 2022 Accepting new patients
Neo Urology Associates Inc CurrentSince Feb 15, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 15, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Mar 31, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Dermatology Associates of Youngstown Inc Past Accepting new patients

Locations

807 Farson St
Ste 116
Belpre, OH 45714
Phone (740) 376-1960

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

6262 Mahoning Ave
Ste B
Youngstown, OH 44515
Phone (330) 758-9787

7430 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-9214

6262 Mahoning Ave
Ste C
Youngstown, OH 44515
Phone 3307299214225

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Interoperability endpoints

  • Direct secure messaging: douglas.keyser@mmhs.medicity.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1902831688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-6201",
            "fax_number": "330-454-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-6201",
            "fax_number": "330-454-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35 063249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.