IndividualActive
Jeffery Keller, CRNA
NPI 1063480713 · Certified Registered Nurse Anesthetist · Canton, OH
Provider details
- NPI number
- 1063480713
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RN21447 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 Sixth Street Sw
Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone: (330) 363-7462
Fax: (330) 363-7679
Street-level locationGet directions
Mailing address
Po Box 80690
Canton, OH 44708-0690
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.