OWEN J KELLER (NPI# 1033267760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033267760 |
| Entity Type | Individual |
| Full Name | OWEN J KELLER |
| Credential | ATC |
| Practice Address |
525 S Main St Ada OH 45810-6000 |
| Practice Telephone | 4197723135 |
| Practice Fax Number | 4197722470 |
| Mailing Telephone | 4197723135 |
| Mailing Fax Number | 4197722470 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-000188 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
525 S MAIN ST |
| City | ADA |
| State | OH |
| Zip Code | 45810-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501484 | Michael James Rush | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2005-07-08 |
| 1396355962 | Connor Edward Bowers | Pharmacist | 525 S Main St, Ada, OH 45810-1599 | 2020-08-07 |
| 1427676261 | Makayla Lynn Wells | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2020-07-08 |
| 1154949998 | Eric Daniel Dierkes | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2020-07-08 |
| 1669981304 | Kyle Parker | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2017-09-26 |
| 1265988414 | Breanna Meinzer | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2016-08-28 |
| 1023467891 | Eyob D Adane | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2016-06-12 |
| 1134597461 | Brittany Lynn Long | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2015-09-03 |
| 1730557125 | Karen L Kier | Pharmacist | 525 S Main St, College of Pharmacy, Ohio Northern University, Ada, OH 45810-6000 | 2015-09-02 |
| 1457729824 | Amy Fanous | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668183 | Ohio Northern University | Pharmacy | 511 W Lincoln Ave, Ada, OH 45810 | 2017-09-26 |
| 1104210723 | Brady Pickford | Registered Nurse | 0257 S.r. 235, Ada, OH 45810 | 2015-03-20 |
| 1356546808 | Ada-liberty Jt Ambulance Dis | Ambulance | 530 North Gilbert Street, Ada, OH 45810 | 2007-06-15 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1821159575 | Teresa E Rush | Nurse Practitioner | 604 W North Ave, Ada, OH 45810 | 2006-12-13 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1407921117 | Ada Family Dentistry | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-11-21 |
| 1538246038 | Mark Benner Shull | Dentist | 120 S Main Street, Ada, OH 45810 | 2006-11-01 |
| Find all providers in zip 45810 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1881184414 | Travis James Faulkner | Specialist/Technologist | 177 Donnybrook Ct Ne, Ada, MI 49301-8345 | 2018-05-18 |
| 1154791358 | Chelsea Crown | Specialist/Technologist | 1406 Wolfe Ln, Ada, OK 74820-2919 | 2015-09-30 |
| 1407234693 | Brian Lorance | Specialist/Technologist | 1100 E. 14st., Ada, OK 74820 | 2015-05-08 |
| 1558754663 | Anne Elizabeth Slater | Specialist/Technologist | 7885 30th St Se, Ada, MI 49301-9310 | 2015-03-13 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1477565265 | Jeffrey Scott Williams | Specialist/Technologist | 2121 E 11th St, Ada, OK 74820-7008 | 2006-08-12 |
| 1023665569 | Lauren Michelle Stafford | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2019-08-20 |
| 1013492974 | Tamami IIda | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-09-26 |
| 1184117582 | Kyle Kingrey | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-06-11 |
| 1972096360 | Emma Elizabeth Rolin | Specialist/Technologist | 1100 E 14th St, Ada, OK 74820-6915 | 2018-06-11 |
| Find all providers in ADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.