DR. ANDREW J KELLER (NPI# 1205928876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205928876 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J KELLER |
| Credential | MD |
| Practice Address |
3023 Hamaker Court Suite #100 Fairfax VA 22031 |
| Practice Telephone | 7036419161 |
| Practice Fax Number | 7036410383 |
| Mailing Telephone | 7036419161 |
| Mailing Fax Number | 7036410383 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
RF7F81 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101042235 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01010462235 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MDIPA | 40159 | 01 | |
| ANTHEM HEALTHKEEPERS PLUS | 432667 | 01 | |
| TRICARE | 541977219 | 01 | |
| MEDICARE OF VA | 00V370C96 | 01 | |
| RAILROAD MEDICARE | 060058383 | 01 | |
| UNITED HEALTHCARE | 541977219 | 01 | |
| NALC AFFORDABLE | 541977219 | 01 | |
| CAREFIRST | 0004 | 01 | |
| ALLIANCE GEHA | 40159 | 01 | |
| AETNA PPO MC | 4120244 | 01 | |
| RAILROAD MEDICARE | P00025866 | 01 | |
| CIGNA | 541977219 | 01 | |
| MAMSI | 40159 | 01 | |
| OPTIMUM CHOICE | 40159 | 01 | |
| ANTHEM | 432666 | 01 | |
| NCPPO | 505382 | 01 | |
| VA | 005842221 | 05 | |
| AETNA HMO | 958360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033541396 | Andrew Keller | Pharmacist | 2011 Richard Jones Rd, Apt Q14, Nashville, TN 37215-2804 | 2013-08-08 |
| 1184154973 | Andrew Keller | Student in an Organized Health Care Education/Training Program | 5230 Centre Ave, Pittsburgh, PA 15232 | 2017-06-14 |
| 1548636558 | Andrew James Keller | Dentist | 909 112th Ave Ne Ste P104, Bellevue, WA 98004-8589 | 2015-08-12 |
| 1508154915 | Andrew Lester Keller | Nurse Practitioner | 110 N Campbell Station Rd, Knoxville, TN 37934 | 2011-07-19 |
| 1316261290 | Andrew M Keller | Student in an Organized Health Care Education/Training Program | 700 Childrens Dr, Columbus, OH 43205-2664 | 2010-03-21 |
| 1356670830 | Andrew Chapman Keller | Counselor | 417 Liberty St, Office 240b, Springfield, MA 01104-3736 | 2009-12-14 |
| 1588874853 | Andrew Barclay Keller | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2007-05-23 |
| 1013943810 | Andrew Keller | Internal Medicine | 27 Hospital Ave, Danbury, CT 06810-5954 | 2006-06-23 |
| Street Address |
3023 HAMAKER COURT SUITE #100 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265543342 | Anne E Summers | Internal Medicine | 3023 Hamaker Court, #100, Fairfax, VA 22031 | 2006-08-31 |
| 1639304918 | Childrens National Specialist of Virginia LLC | Pediatrics | 3023 Hamaker Court, Suite 500, Fairfax, VA 22031 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
| 1588167944 | Loudoun Cardiology Plc | Internal Medicine | 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 | 2018-03-13 |
| 1659889533 | Cardiac Cin of Northern Virginia LLC | Internal Medicine | 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 | 2018-01-13 |
| 1114287117 | Ashesh N. Buch | Internal Medicine | 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 | 2012-05-23 |
| 1538429857 | Sentara Medical Group | Internal Medicine | 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 | 2012-05-21 |
| 1790044311 | Sentara Medical Group | Internal Medicine | 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 | 2012-05-16 |
| 1053546846 | Dhavalkumar B Patel | Internal Medicine | 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 | 2009-05-21 |
| 1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1881680619 | Frans A Vossenberg | Internal Medicine | 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 | 2005-09-27 |
| 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.