JENNIFER L KELLER (NPI# 1073576294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073576294 |
| Entity Type | Individual |
| Full Name | JENNIFER L KELLER |
| Other Name | JENNIFER L WENZKE |
| Credential | MD |
| Practice Address |
4437 State Route 159 Suite 125 Chillicothe OH 45601-7065 |
| Mailing Address |
1051 Harding Memorial Pkwy Ste A Marion OH 43302-6347 |
| Practice Telephone | 7407794570 |
| Practice Fax Number | 7407794579 |
| Mailing Telephone | 7403826900 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35076994W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 0000000362663 | 01 | |
| UNITED HEALTHCARE | 2547680 | 01 | |
| RAILROAD MEDICARE | PO0244309 | 01 | |
| NATIONWIDE INSURANCE | 133184 | 01 | |
| OH | 2595115 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580339 | Jennifer Pillard Keller | Behavioral Analyst | 12310 Bailey Bridge Rd, Midlothian, VA 23112-3118 | 2017-07-13 |
| 1073929527 | Jennifer Keller | Home Health Aide | 38462 Oak Hill Ln Apt 202, Willoughby, OH 44094-7644 | 2014-07-04 |
| 1578821385 | Jennifer Keller | Residential Treatment Facility, Physical Disabilities | 1190 Arrowhead Ln, Peconic, NY 11958-1602 | 2012-04-30 |
| 1447489372 | Jennifer Marie Keller | Clinical Neuropsychologist | 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 | 2009-07-13 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1396362125 | Jennifer Lyn Keller | Registered Nurse | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2020-06-27 |
| 1730705708 | Jennifer Jo Keller | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2020-06-24 |
| 1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
| 1932601374 | Jennifer Ardell Keller | Nurse Practitioner | 2007 Montreal Rd, Tucker, GA 30084-5253 | 2018-03-01 |
| Street Address |
4437 STATE ROUTE 159 SUITE 125 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-7065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354680 | John Francis Boyle | Podiatrist | 4437 State Route 159, Ste G15, Chillicothe, OH 45601-7065 | 2005-05-23 |
| 1831798743 | Laura Lynn Wells | Nurse Practitioner | 4437 State Route 159, Chillicothe, OH 45601-7065 | 2020-10-21 |
| 1386189207 | Kaylee Cooper | Nurse Practitioner | 4437 State Route 159, Chillicothe, OH 45601-7065 | 2017-01-02 |
| 1841620101 | Amanda Sheldon | Physician Assistant | 4437 State Route 159, Chillicothe, OH 45601-7065 | 2013-11-22 |
| 1013359637 | Lisa Elaine Vires | Nurse Practitioner | 4437 State Route 159, Chillicothe, OH 45601-7065 | 2013-07-24 |
| 1609113554 | Casey Renee Clevenger | Nurse Practitioner | 4437 State Route 159, Suite 125, Chillicothe, OH 45601-7065 | 2013-01-12 |
| 1871852285 | Jamie L Fyffe | Nurse Practitioner | 4437 State Route 159, #125, Chillicothe, OH 45601-7065 | 2012-05-07 |
| 1902122880 | Eric Yen Ting Liu | Emergency Medicine | 4437 State Route 159, Chillicothe, OH 45601-7065 | 2010-04-16 |
| 1609023597 | Barbara Lynn Whitmer | Nurse Practitioner | 4437 State Route 159, Suite 125, Chillicothe, OH 45601-7065 | 2008-08-21 |
| 1124295902 | Victoria Zysek | Internal Medicine | 4437 State Route 159, Suite 125, Chillicothe, OH 45601-7065 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799347 | Warren Endovascular Associates LLC | Internal Medicine | 1950 Niles Cortland Rd Ne Ste 12, Warren, OH 44484-1077 | 2020-08-07 |
| 1821570128 | Rishi Puri | Internal Medicine | 9500 Euclid Ave # J2-208, Cleveland, OH 44195-0001 | 2018-09-04 |
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1316445695 | Cardiac Cin of Cincinnati LLC | Internal Medicine | 9435 Waterstone Blvd Ste 140-302, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1720462591 | Midwest Access Services LLC | Internal Medicine | 7335 Yankee Rd Ste 101, Liberty Township, OH 45044-0008 | 2015-07-12 |
| 1306878863 | Medcentral Professional Association Inc. | Internal Medicine | 308 Glessner Ave, Mansfield, OH 44903-2225 | 2006-07-07 |
| 1629077961 | Gregory J Wood | Internal Medicine | 7200 Mentor Ave, Mentor, OH 44060-7522 | 2005-07-19 |
| 1508865213 | Joseph Michael Surmitis | Internal Medicine | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2005-07-15 |
| 1851396428 | Puvi N Seshiah | Internal Medicine | 3219 Clifton Ave, Suite 400, Cincinnati, OH 45220-3027 | 2005-06-20 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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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.