Keiko Ishikawa, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-10275 Issued in OH

Practice address

301 S Patterson Ave
Bachelor Hall RM 2
Oxford, OH 45056-3414

Phone

(513) 529-2500

Fax

(513) 529-2502

NPI assigned

Nov 17, 2016

Sex

Female

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

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 and National Provider Directory roles.

• Miami University Speech & Hearing Clinic

  • Audiologist
  • Oxford, OH
  • NPI 1205057122

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1992247258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PATTERSON AVE",
            "address_2": "BACHELOR HALL RM 2",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563414",
            "telephone_number": "513-529-2500",
            "fax_number": "513-529-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PATTERSON AVE",
            "address_2": "BACHELOR HALL RM 2",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563414",
            "telephone_number": "513-529-2500",
            "fax_number": "513-529-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "KEIKO",
        "credential": "CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-10275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry G Hunt, MD
• Kathleen Mary Hutchinson, PH.D., CCC-A
• Madeline Iden
• Indian Creek Family Hea
• Indian Creek Family Health Oxford LLC
• Ivy'S Healing Path Mental Health Services LLC
• Jack Bridge, O.D., Inc.
• Joseph William Jackson, D.D.S.
• Nathaniel Joseph Jackson, D.D.S.
• Jeffrey W Collins OD Inc

• Speech-Language Pathologist in Oxford, OH
• Providers in Oxford, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.