JAYSON TRAVIS KEENER (NPI# 1821575432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821575432 |
| Entity Type | Individual |
| Full Name | JAYSON TRAVIS KEENER |
| Credential | PA-C |
| Practice Address |
2361 Lakeview Dr Beavercreek OH 45431-3695 |
| Mailing Address |
151 Southhall Ln Ste 300 Maitland FL 32751-7172 |
| Practice Telephone | 9373060200 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9111420 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11373 Cortez Blvd Ste 209, Brooksville, FL 346135405 | 3525960786 | 7278628548 |
| 8940 Kingsridge Dr Ste 104, Centerville, OH 454581632 | 9374361433 |
| Street Address |
2361 LAKEVIEW DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093960320 | After-hours Internal Medicine LLC | Internal Medicine | 2361 Lakeview Dr, Beavercreek, OH 45431-3695 | 2008-12-01 |
| 1851752950 | Lauren Churchey | Nurse Practitioner | 2361 Lakeview Dr, Beavercreek, OH 45431-3695 | 2016-03-16 |
| 1356450357 | Barbara E. Coffey | Nurse Practitioner | 2361 Lakeview Dr, Beavercreek, OH 45431-3695 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655624 | Amy Riess | Physician Assistant | 1379 Bareback Trl, Beavercreek, OH 45434-5682 | 2020-07-01 |
| 1548816622 | Christine Beaujean | Physician Assistant | 4244 Indian Ripple Rd Ste 300, Beavercreek, OH 45440-3280 | 2019-08-14 |
| 1689196222 | Alexis Victoria Robinson | Physician Assistant | 2262 Mallard Ln Apt 6, Beavercreek, OH 45431-2592 | 2017-07-14 |
| 1427074087 | Tracey Kwiat | Physician Assistant | 1868 Wilene Dr, Beavercreek, OH 45432-4022 | 2006-07-15 |
| 1053921650 | Sarah Gould | Physician Assistant | 2510 Commons Blvd Ste 210, Beavercreek, OH 45431-3821 | 2020-08-07 |
| 1346707379 | Bryan Michael Dooley | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2019-02-26 |
| 1306339197 | Cheyenne Clayson | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2018-06-07 |
| 1427426816 | Angela R Fry | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2015-09-02 |
| 1801283981 | Ryan C Craycraft | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2015-04-16 |
| 1023255387 | Lindsey R Hammett | Physician Assistant | 111 Harbert Dr, Beavercreek, OH 45440-5117 | 2009-01-08 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.