DR. GREGORY COLE KELLER (NPI# 1285638965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285638965 |
| Entity Type | Individual |
| Full Name | DR. GREGORY COLE KELLER |
| Credential | M.D. |
| Practice Address |
1325 San Marco Blvd Ste 200 Credentialing Department Jacksonville FL 32207-8566 |
| Mailing Address |
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566 |
| Practice Telephone | 9043463465 |
| Practice Fax Number | 9043991537 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9043991537 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME62258 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME62258 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00655069A | 05 | |
| FL | 376096100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518471861 | Gregory Keller | Technician, Pathology | 829 Legion Dr, Gretna, LA 70056-4518 | 2017-11-23 |
| 1699961474 | Gregory S Keller | Surgery | 221 W Pueblo St, Suite A, Santa Barbara, CA 93105-6814 | 2007-09-14 |
| 1649385287 | Gregory Lynn Keller | Psychiatry & Neurology | 1800 N 16th St, Clarinda, IA 51632-1165 | 2006-08-21 |
| Street Address |
1325 SAN MARCO BLVD STE 200 CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252655 | Steven Mccarthy Crenshaw | Orthopaedic Surgery | 1325 San Marco Blvd Ste 200, Credentialing Department, Jacksonville, FL 32207-8566 | 2005-06-01 |
| 1992355887 | Zachary Cole White | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-09-12 |
| 1649825639 | Tristyn Kinser | Specialist/Technologist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-08-06 |
| 1194379578 | Cesar Enrique Roman-negron | Specialist/Technologist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-07-24 |
| 1023578895 | James Martin Duross Iv | Nurse Practitioner | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-03-20 |
| 1457819146 | Justin T Juelich | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-03-12 |
| 1629535307 | Courtney C Calcote | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-02-28 |
| 1003389925 | Savannah Faulk | Physical Therapist | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2019-01-03 |
| 1497223093 | Victoria C. Pursley | Nurse Practitioner | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2018-11-13 |
| 1679096424 | Kellie Marie Holloway | Physician Assistant | 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1457869323 | Es Optimal Health Network of Florida, LLC | Orthopaedic Surgery | 1301 Riverplace Blvd # 800b, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1376768580 | Rogozinski Orthopedic Clinic, P.a. | Orthopaedic Surgery | 3716 University Boulevard South, Suite 3, Jacksonville, FL 32216-4318 | 2007-04-13 |
| 1194805085 | Arnold Graham Smith | Orthopaedic Surgery | 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 | 2006-10-16 |
| 1184185464 | Sfl Care of Fl II, LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032 | 2019-03-28 |
| 1437434727 | Coastal Orthopaedics and Spinal Surgery Pa | Orthopaedic Surgery | 2580 Henderson Dr, Jacksonville, NC 28546-5252 | 2011-10-18 |
| 1568487635 | Robert K. Hurford Jr. | Orthopaedic Surgery | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2006-07-12 |
| 1912994377 | Abraham Rogozinski | Orthopaedic Surgery | 3716 University Blvd S, Suite 3, Jacksonville, FL 32216-4355 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| 1275041147 | Spine Cin of West Palm LLC | Orthopaedic Surgery | 4440 Pga Blvd # 600a, Palm Beach Gardens, FL 33410-6539 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.