WILLIAM H KELLERMEYER (NPI# 1043692460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043692460 |
| Entity Type | Individual |
| Full Name | WILLIAM H KELLERMEYER |
| Credential | NP |
| Practice Address |
11020 Pendleton Pike Indianapolis IN 46236-2817 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3178263903 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005503A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201312310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145588 | William Frederick Kellermeyer Jr. | Anesthesiology | 600 Memorial Ave, Memeorial Office Bldg., Cumberland, MD 21502-3765 | 2005-09-23 |
| Street Address |
11020 PENDLETON PIKE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894435 | Melinda Jane Rogers | Nurse Practitioner | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2006-07-18 |
| 1639605777 | Kelly E Matthews | Registered Nurse | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2017-05-10 |
| 1205383429 | Alexandra Gerber | Nurse Practitioner | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2016-09-06 |
| 1023438942 | Anna Mechem | Registered Nurse | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2014-04-17 |
| 1093091068 | Erin Miller | Pharmacist | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2011-10-22 |
| 1710262324 | Stephen Dowe Brinkruff | Pharmacist | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2011-10-14 |
| 1366726168 | Priti Patel | Pharmacist | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2011-09-28 |
| 1902021892 | Barbara S Derose | Registered Nurse | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2007-04-16 |
| 1992848220 | Diana Lynn Bantz | Nurse Practitioner | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2007-02-15 |
| 1124035126 | Walgreen Co | Pharmacy | 11020 Pendleton Pike, Indianapolis, IN 46236-2817 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46236 |
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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.