| Keith J Harkins, MD | |
| 
					1275 N High St, Hillsboro, OH 45133-8273  | |
| (937) 393-6100 | |
| (937) 619-4150 | 
| Full Name | Keith J Harkins | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1275 N High St, Hillsboro, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265410716 | NPI | - | NPPES | 
| 000000552748 | Other | OH | ANTHEM BCBS | 
| 000000552749 | Other | OH | ANTHEM BCBS PIKE | 
| 0865925 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35061943 (Ohio) | Primary | 
| Entity Name | Emergency Professional Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864  | 
| Entity Name | Ohio Emergency Professionals Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785  | 
| Entity Name | Hospitalist Medicine Physicians Of Ohio - Cincinnati Professional Corp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508698739 PECOS PAC ID: 1850824400 Enrollment ID: O20241104002904  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keith J Harkins, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136  | Keith J Harkins, MD 1275 N High St, Hillsboro, OH 45133-8273 Ph: (937) 393-6100  | 
Dr. Michael P. Parker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 614-293-2809  | |
Leslie Rea Kallevang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 614-293-2809  | |
Dr. Brad Stewart Goldman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 614-293-2809  |