CARL SCOTT KELLER (NPI# 1164899969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164899969 |
| Entity Type | Individual |
| Full Name | CARL SCOTT KELLER |
| Credential | ED.S. |
| Practice Address |
4142 Gore Rd Conneaut OH 44030-2918 |
| Mailing Address |
4200 State Rd Ashtabula OH 44004-6017 |
| Practice Telephone | 4408130958 |
| Mailing Telephone | 4405769023 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
21137164 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043792 | Carl Keller | Counselor | 130 Maple St, Springfield, MA 01103-2202 | 2014-08-21 |
| 1871902379 | Carl Joseph Keller | Physical Therapist | 1451 Highway 2, Two Harbors, MN 55616-4049 | 2014-08-08 |
| Street Address |
4142 GORE RD |
| City | CONNEAUT |
| State | OH |
| Zip Code | 44030-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672514 | Brenda Kraus | Technician/Technologist | 448 W Main Rd, Conneaut, OH 44030 | 2015-10-22 |
| 1508232653 | Kathaleen Renee Bucci | Licensed Practical Nurse | 191 Salisbury Road, Conneaut, OH 44030 | 2015-08-12 |
| 1730511494 | Kristy Kay Jerina | Licensed Practical Nurse | 575 Dorman Rd., Conneaut, OH 44030 | 2013-08-05 |
| 1942572516 | Tracy Bidwell | Emergency Medical Technician, Basic | 284 S. Ridge Rd W, Conneaut, OH 44030 | 2012-01-30 |
| 1639493596 | Jorge Antonio Ricaurte | Internal Medicine | 200 Townsend Ave, Conneaut, OH 44030 | 2010-03-22 |
| 1992900989 | Laurie A Reed | Nurse Practitioner | 117 West St., Conneaut, OH 44030 | 2007-06-19 |
| 1346456811 | Michele Ann Powell | Home Health Aide | 1352 Lake Road, Conneaut, OH 44030 | 2007-05-14 |
| 1801914916 | Joseph A Denunzio Dds PC | Dentist | 333 Liberty Street, Conneaut, OH 44030 | 2007-03-27 |
| 1447330519 | Brown Memorial Hospital | Emergency Medicine | 158 West Main St, Conneaut, OH 44030 | 2006-10-16 |
| 1104836881 | Gary Robert Huston | Family Medicine | 177 West St, Conneaut, OH 44030 | 2006-08-08 |
| Find all providers in zip 44030 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306260252 | Alissa Ianetta | Psychologist | 7221 Harmony Glen Dr, Conneaut, OH 44030-3198 | 2014-02-13 |
| 1124428123 | Aimee Cool | Psychologist | 400 Mill St, Conneaut, OH 44030-2442 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
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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.