Individual
DR. JASON C KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6075 E BROAD ST, COLUMBUS, OH 43213-5131
(614) 864-6363
(614) 864-2248
Mailing address
6075 E BROAD ST, COLUMBUS, OH 43213-5131
(614) 864-6363
(614) 864-2248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35071465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188223
BC/BS PROVIDER NUMBER
OH
01
—
1701506
UHC PROVIDER NUMBER
OH
05
—
2151997
—
OH
01
—
7231123
AETNA PROVIDER NUMBER
OH
Enumeration date
07/18/2006
Last updated
01/09/2024
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