Provider Demographics
NPI:1346233400
Name:KEYSER, JEFFREY A (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:KEYSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-733-4644
Mailing Address - Fax:717-733-7865
Practice Address - Street 1:804 GRANDVIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522
Practice Address - Country:US
Practice Address - Phone:717-466-2500
Practice Address - Fax:717-733-7865
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-004694L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
067541OtherMEDICARE GROUP
PA0008OtherRAILROAD MEDICARE
60116300OtherTHREE RIVERS HEALTH PLAN
020054619OtherRAILROAD MEDICARE
1528721OtherGATEWAY PA
9338687OtherCIGNA PA
20020200OtherMERCY HEALTH PLAN PA
20020196OtherMERCY HEALTH PLAN PA
KE1458636OtherBLUE SHIELD OF PA
1458636OtherKEYSTONE CENTRAL PA
3101927OtherAETNA USHC HMO
PA09786390009Medicaid
50009554OtherCAPITAL BLUE CROSS PA
PA0078174890004Medicaid
2144133000OtherKEYSTONE EAST PA
427186OtherBLUE SHIELD OF PA
50009561OtherCAPITAL BLUE CROSS PA
7107465OtherAETNA USHC NONHMO
7107465OtherAETNA USHC NONHMO
PA427186Medicare PIN