DR. JORDAN TAYLOR KEITH MD
NPI 1275192940
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-2451 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jordan Taylor Keith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN TAYLOR KEITH MD (NPI 1275192940) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Paul L Foster School Of Medicine, Texas Tech Univ (2019).

NPPES Registry Identity

NPI1275192940
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JORDAN TAYLOR KEITHCredential: MD
Location Address940 STANTON L YOUNG BLVDOklahoma City, OK 73104-5020
Mailing Address940 Stanton L Young BlvdOklahoma City, OK 73104-5020
Sole ProprietorNo
Medical School CMSPaul L Foster School Of Medicine, Texas Tech UnivGraduated 2019
Enumeration DateJune 6, 2019
NPI 1275192940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

940 STANTON L YOUNG BLVD, Oklahoma City, OK 73104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Taylor Keith Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840709515
PECOS Enrollment IDI20250603004320
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Dentist (Oral and Maxillofacial Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Dentist (Oral and Maxillofacial Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104
Pathology (Anatomic Pathology & Clinical Pathology)
940 STANTON L YOUNG BLVD, STE. 451
OKLAHOMA CITY, OK 73104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275192940, enumerated as an "individual" on June 06, 2019.

The provider is located at 940 STANTON L YOUNG BLVD OKLAHOMA CITY, OK 73104 and the phone number is (405) 271-2451.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to verify.