Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 35044161K | OH |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 35044161 | OH |
NPI | 1679530307 |
---|---|
Provider Name | David Paul Keseg |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Chillicothe, OH 45601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 02/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000139613 | ANTHEM/BCBS (01) | OH |
000000315469 | BCBS MEMORIAL (01) | OH |
000000319941 | BCBS (01) | |
000000326488 | BCBS CIRCLEVILLE (01) | |
000000360660 | BCBS (01) | OH |
000000543737 | ANTHEM BCBS (01) | OH |
0406000 | (05) | OH |
104734168 | MICHIGAN MEDICAID (01) | |
D67738 | (02) | |
P00066458 | RAILROAD MEDICARE (01) | |
P00187423 | MEDICARE RR/ADENA (01) | OH |
P00268378 | RAIL ROAD MEDICARE (01) |