DR. NICOLE CHRISTINE KELLER (NPI# 1316214240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316214240 |
| Entity Type | Individual |
| Full Name | DR. NICOLE CHRISTINE KELLER |
| Credential | D.O. |
| Practice Address |
4789 Route 71 Oswego IL 60543-7415 |
| Practice Telephone | 6308985969 |
| Practice Fax Number | 6308985837 |
| Mailing Telephone | 6308985969 |
| Mailing Fax Number | 6308985837 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036129833 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432620 | Nicole Leilani Keller | Physical Therapist | 2257 Lobelia Ave, Upland, CA 91784-7386 | 2019-11-27 |
| 1891841995 | Nicole M. Keller | Midwife | Vanderbilt Dept of Obgyn 1161 21st Ave S, R-1217 Mcn, Nashville, TN 37232-0001 | 2007-01-25 |
| 1689179392 | Nicole Deneen Keller | Counselor | 287 W Johnstown Rd, Columbus, OH 43230-2732 | 2018-03-26 |
| 1548589898 | Nicole Keller | Registered Nurse | 5965 S 900 E, Murray, UT 84121-1720 | 2010-05-26 |
| 1730406661 | Nicole Leanna Keller | Counselor | 212 E Main St, Greenville, OH 45331-1913 | 2010-05-03 |
| 1417136706 | Nicole Rae Keller | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2007-11-02 |
| 1073647624 | Nicole K Keller | Audiologist | 22 Sugar Creek Ctr, Bella Vista, AR 72714-3507 | 2007-03-15 |
| 1629110101 | Nicole Keller | Social Worker | 1213 Delaware Ave, Wilmington, DE 19806 | 2007-02-13 |
| 1801932009 | Nicole W. Keller | Physician Assistant | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2007-01-29 |
| Street Address |
4789 ROUTE 71 |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1710508973 | Nicole Ann Hohman | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2020-04-29 |
| 1083126619 | Adam Estrada | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-11-05 |
| 1306366794 | Christine Elizabeth Kowalewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543 | 2017-06-26 |
| 1922533397 | Kristen Joanne Olszewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-04-24 |
| 1083076798 | Kyla Phu | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2016-03-22 |
| 1477952729 | Nicole Therese Marks | Registered Nurse | 4789 Route 71, Oswego, IL 60543-7415 | 2014-08-21 |
| 1427485945 | Jaclynn A Jackubowski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2013-09-29 |
| 1497020234 | Virginia Katherine House Hathcock | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2012-03-13 |
| 1427234426 | Parul Bhatt | Pediatrics | 4789 Route 71, Oswego, IL 60543 | 2008-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526098 | Young H Kim Md Faap | Pediatrics | 50 W Utica St, Oswego, NY 13126-3053 | 2012-04-10 |
| 1821238346 | Kwakbear P.C. | Pediatrics | 5011 Carpenter Ave, Oswego, IL 60543-8027 | 2009-02-23 |
| 1457445512 | Young Hee Kim | Pediatrics | 50 West Utica St, Oswego, NY 13126 | 2006-10-03 |
| 1841309945 | Elie R Gonzales Md | Pediatrics | 38 Erie St, Oswego, NY 13126-3803 | 2006-08-30 |
| 1396792404 | Shashikant G Bhopale | Pediatrics | 33 E 1st St, Oswego, NY 13126-1112 | 2006-05-27 |
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1205893419 | James Lee Webb | Pediatrics | 4509 Route 71, Oswego, IL 60543-7416 | 2006-05-01 |
| 1184086381 | Nicole Phelps | Pediatrics | 80 Templeton Dr, Oswego, IL 60543 | 2016-03-26 |
| 1245402932 | Karen J. Chorvat | Pediatrics | 80 Templeton Dr, Oswego, IL 60543-7000 | 2008-04-02 |
| 1427234426 | Parul Bhatt | Pediatrics | 4789 Route 71, Oswego, IL 60543 | 2008-01-21 |
| Find all providers in OSWEGO | ||||
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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.