SUSAN KELLER


Address: 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132
Phone: 7138241883

SUSAN KELLER (NPI# 1104201813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104201813
Entity Type Individual
Full Name SUSAN KELLER
Practice Address 6551 Harris Pkwy Ste 250
Fort Worth
TX 76132
Mailing Address 6551 Harris Pkwy Ste 250
Fort Worth
TX 76132-6115
Practice Telephone 7138241883
Mailing Telephone 7138241883
Enumeration Date 2015-07-23
Last Update Date 2019-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA09894 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4819 River Oaks Blvd, Fort Worth, TX 76114 8176269744

Other Providers SUSAN KELLER

NPI Name Taxonomy Address Enumeration
1699104059 Susan Marie Keller Speech-Language Pathologist 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 2013-11-06
1215048327 Susan Kathleen Kiener Keller Counselor 1011 W Springfield Ave, Urbana, IL 61801-3022 2006-08-31
1760436125 Susan Clark Keller Social Worker 307 1st Ave East, Ste 3, Kalispell, MT 59901-4965 2006-05-20
1508200338 Susan Kay Keller Counselor 4001 W Dayton St, Mchenry, IL 60050-8377 2013-04-23
1336416239 Susan M Keller Pharmacist 835 Van Houten Ave, Clifton, NJ 07013-1930 2011-11-20
1124144340 Susan M. Keller Counselor 20 E 13th Ave, Eugene, OR 97401-3535 2007-03-21
1871688721 Susan Keller Psychologist 631 Tennessee St, Vallejo, CA 94590-4432 2006-10-04
1962514091 Susan Lynn Keller Specialist 2615 E Clinton Ave, Fresno, CA 93703-2223 2006-08-31
1598736514 Susan Keller Nurse Practitioner 130 Lincoln Place Ct, Belleville, IL 62221-5884 2006-01-28

Office Location

Street Address 6551 HARRIS PKWY STE 250
City FORT WORTH
State TX
Zip Code 76132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174924450 David Maldonado IIi Md Pa Internal Medicine 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 2014-09-05
1982224127 Kristina Mae Holmquist Nurse Practitioner 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 2020-04-17
1629557301 Jon Moench Specialist/Technologist, Other 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 2018-08-13
1053810127 Cody Rodriguez Nurse Practitioner 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 2018-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528669843 Rubilene Spinks Pharmacist 6300 Oakmount Blvd, Fort Worth, TX 76132 2020-11-03
1942839113 Fort Physicians & Professionals Pllc Psychiatry & Neurology 7140 Oakmont Boulevard, Fort Worth, TX 76132 2020-04-08
1134781792 Daniel Max & Marcandrea LLC Optometrist 4619 S Hulen St, Suite C, Fort Worth, TX 76132 2019-07-03
1568029320 Ty Desilets Physical Therapist 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 2019-05-28
1750844049 Fort Worth Surgical Center Lp Clinic/Center 6949 Bryant Irvin Road, Fort Worth, TX 76132 2019-04-12
1063971232 Symetria Health of Texas, LLC Clinic/Center 7299 Hawkins View Drive, Fort Worth, TX 76132 2019-03-18
1275015612 Falguni Udayan Patel Nurse Practitioner 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 2018-09-02
1881110161 Because De Cares Private Vehicle 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 2017-08-17
1871045708 Cns - F.w., LLC Clinic/Center 6940 Harris Parkway, Fort Worth, TX 76132 2016-10-26
1790233294 Prime Diagnostic Imaging of Fort Worth, LLC Clinic/Center 6491 Southwest Blvd., Benbrook, TX 76132 2016-09-14
Find all providers in zip 76132

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811596927 Emily Lau Physician Assistant 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 2020-10-20
1629681952 Anum Bashwani Physician Assistant 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 2020-08-26
1780200881 Emily Brown Holloway Physician Assistant 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 2020-06-24
1679196570 Maria Cristela Mosso Physician Assistant 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 2020-05-26
1679195978 Jacob Torre Physician Assistant 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 2020-05-11
1871122382 Kenaud Jeune Physician Assistant 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 2020-04-06
1922635648 Lauren Elizabeth Studey Physician Assistant 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 2020-03-24
1033743612 James Bregg Reedy Physician Assistant 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 2020-02-24
1992335194 Alexandria Christine Rios Physician Assistant 5904 Rockhill Rd, Fort Worth, TX 76112-3047 2020-01-16
1982253605 Kelly Ann Klein Physician Assistant 6708 River Bend Rd, Fort Worth, TX 76132-1108 2019-09-05
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76132

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Dataset Information

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.

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