DAVID V KELLER (NPI# 1124192406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124192406 |
| Entity Type | Individual |
| Full Name | DAVID V KELLER |
| Credential | PA-C |
| Practice Address |
1424 Fern Creek Dr Ste D Statesville NC 28625-9376 |
| Practice Telephone | 7048782058 |
| Practice Fax Number | 7048726576 |
| Mailing Telephone | 7048782058 |
| Mailing Fax Number | 7048726576 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-00703 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154409282 | David Mark Keller | Family Medicine | 203 East Main St, Richmond, IN 47374 | 2006-11-02 |
| 1356393656 | David Louis Keller | Internal Medicine | 1948 Rolling Vista Dr, Lomita, CA 90717-3769 | 2006-05-16 |
| 1386647949 | David Arlington Keller Sr. | Dentist | 215 Nw 78th St, Vancouver, WA 98665-7972 | 2005-05-27 |
| 1760021919 | David Keller | Occupational Therapy Assistant | 19525 W North Ave, Brookfield, WI 53045-4107 | 2020-01-04 |
| 1093377913 | David Michael Keller | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503-2560 | 2019-07-01 |
| 1578026969 | David M Keller II | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-11 |
| 1346679487 | David Keller | Social Worker | 1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 | 2013-11-08 |
| 1427285519 | David Allen Keller | Dentist | 57 Davison Ct, Lockport, NY 14094-5376 | 2009-06-16 |
| 1174769913 | David Kasey Keller | Pharmacist | 78 Perry Winkle Ln, Huntington, WV 25702-9506 | 2008-12-29 |
| 1366631301 | David Matthew Keller | Psychiatry & Neurology | 3551 Roger Brooke Dr, Quality Services/ Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234-4504 | 2007-10-16 |
| Street Address |
1424 FERN CREEK DR STE D |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-9376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457657868 | Statesville Hma Medical Group, LLC | Internal Medicine | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2011-02-02 |
| 1194954925 | Toral Shah Desai | Internal Medicine | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2009-07-14 |
| 1538358916 | Claudia Lyn Burkhalter | Nurse Practitioner | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| 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 |
|---|---|---|---|---|
| 1134759418 | Evelyn Virginia Stein | Physician Assistant | 3313 Lancaster Dr, Statesville, NC 28625-4633 | 2020-01-25 |
| 1790058691 | Kimberly A Lafreniere | Physician Assistant | 633 Brookdale Dive, Suite 300, Statesville, NC 28677-3403 | 2012-02-23 |
| 1932123098 | Erica Ault Kelly | Physician Assistant | 208 Oid Mocksville Road, Statesville, NC 28625 | 2006-07-26 |
| 1053348607 | Jill Suzanne Calhoun | Physician Assistant | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2006-06-27 |
| 1992745400 | Jonathan Douglas Garrett | Physician Assistant | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2006-06-07 |
| 1881661205 | Burgo Doyle Gill IIi | Physician Assistant | 700 Sullivan Rd, Statesville, NC 28677-3440 | 2006-03-03 |
| 1720080393 | Todd Edward Kennedy | Physician Assistant | 142 Sherlock Dr, Statesville, NC 28625-1953 | 2005-08-12 |
| 1609486083 | Gergana Olszewski | Physician Assistant | 702 Hartness Rd, Statesville, NC 28677-3425 | 2020-07-31 |
| 1780214163 | Kelsey Noel Mclelland | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2020-01-24 |
| 1225538275 | Adam Stapleton | Physician Assistant | 702 Hartness Rd, Statesville, NC 28677-3425 | 2018-02-16 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on DAVID V KELLER.
| 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.