MR. MATTHEW JACOB KELLER (NPI# 1083044556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083044556 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JACOB KELLER |
| Credential | PA-C |
| Practice Address |
860 Rostraver Rd Belle Vernon PA 15012-1945 |
| Mailing Address |
204 Mount East Rd Connellsville PA 15425-6096 |
| Practice Telephone | 7249293278 |
| Mailing Telephone | 7243097554 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA056387 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1962742569 | Matthew Ryan Keller | Counselor | 75 Hwy 62/4 12, Suite J, Ash Flat, AR 72513-9629 | 2013-02-20 |
| 1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
| 1215067210 | Matthew Scott Keller | Specialist/Technologist | 415 Harrisburg Ave, Lancaster, PA 17603-2827 | 2007-03-07 |
| 1356990097 | Matthew Keller | Dentist | 8951 Bonita Beach Rd Se Ste 220, Bonita Springs, FL 34135-4202 | 2019-09-05 |
| 1942760160 | Matthew H Keller | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-22 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1003340480 | Matthew Allen Keller | Counselor | 161 W Victoria St, Long Beach, CA 90805 | 2017-04-12 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1457536641 | Matthew Evan Keller | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2008-01-07 |
| Street Address |
860 ROSTRAVER RD |
| City | BELLE VERNON |
| State | PA |
| Zip Code | 15012-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386977973 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2009-09-14 |
| 1932564473 | Jocelyn Eaglehouse | Physician Assistant | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2015-12-29 |
| 1912376260 | Marnie Nicklow | Nurse Practitioner | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664174 | Karen A Perry | Technician | 209 Pleasant Valley Blvd, Rostraver Twp, PA 15012 | 2019-08-14 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1427393008 | Kim Pierce | Dietitian, Registered | 810 Morgan St, Belle Vernon, PA 15012 | 2012-12-07 |
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1538398755 | Spencer Miller | Hearing Instrument Specialist | 29 Fayette Street, Belle Vernon, PA 15012 | 2009-07-09 |
| 1972760957 | Mark Current | Pharmacist | 843 Rostraver Rd, Rite Aid #10891, Belle Vernon, PA 15012 | 2008-05-19 |
| 1568683134 | Donald Edward Rowe | Chiropractor | 139 Valley View Drive, Belle Vernon, PA 15012 | 2007-05-01 |
| 1023234127 | John A Marino | Chiropractor | 1112 Fells Church Road, Belle Vernon, PA 15012 | 2007-04-17 |
| 1164548020 | Mark G Boles | Pediatrics | 1112 Fells Church Rd, Belle Vernon, PA 15012 | 2007-03-22 |
| 1861516635 | Julie Myers | Specialist | 800 Willow Drive, Ste 100, Willowpointe Plaza, Belle Vernon, PA 15012 | 2007-03-19 |
| Find all providers in zip 15012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1144229196 | Fredrick A Naccarato | Physician Assistant | 870 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2005-07-20 |
| 1538529615 | Molly Danielle Hlavay | Physician Assistant | 800 Plaza Dr, Suite 400, Belle Vernon, PA 15012 | 2016-03-02 |
| 1255703294 | Julia Constantine | Physician Assistant | 800 Plaza Dr, Suite 240, Belle Vernon, PA 15012-4019 | 2015-10-29 |
| 1962893867 | Ryan Andrew Franceschelli | Physician Assistant | 800 Plaza Dr, Suite 400, Belle Vernon, PA 15012 | 2015-02-12 |
| 1205180395 | Mallory Anne Boscan | Physician Assistant | 800 Plaza Drive, Suite 240, Belle Vernon, PA 15012-4019 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BELLE VERNON |
| Zip Code | 15012 |
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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.