DR. DAVID JAY KELLER (NPI# 1316933914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316933914 |
| Entity Type | Individual |
| Full Name | DR. DAVID JAY KELLER |
| Credential | M.D. |
| Practice Address |
44 Birch St Suite 200 Derry NH 03038-2752 |
| Mailing Address |
3 Albert Cree Dr Rutland VT 05701-4601 |
| Practice Telephone | 6034219130 |
| Practice Fax Number | 6034212451 |
| Mailing Telephone | 8027752937 |
| Mailing Fax Number | 8027730934 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2009-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0420005877 | VT | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | LT-2804 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MOHAWK VALLEY PHYSICIAN | 18145 | 01 |
| NH | 30208575 | 05 | |
| VT | CIGNA | 329603 | 01 |
| VT | BCBS OF VT | 00004705 | 01 |
| VT | CAPITAL DIST PHY HEALTH P | 4971 | 01 |
| VT | 0004705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192406 | David V Keller | Physician Assistant | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2006-11-20 |
| 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 |
| Street Address |
44 BIRCH ST SUITE 200 |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739025 | Anne M Loosmann | Surgery | 44 Birch St, Suite 301, Derry, NH 03038-2752 | 2005-09-08 |
| 1851782312 | Londonderry Gastroenterology Associates Pa | Internal Medicine | 44 Birch St, Suite 206, Derry, NH 03038-2752 | 2015-02-05 |
| 1629409503 | Meghan Peschiera | Audiologist-Hearing Aid Fitter | 44 Birch St, Suite 304, Derry, NH 03038-2752 | 2013-12-03 |
| 1750624409 | Natasha Saiyed | Surgery | 44 Birch St, Derry, NH 03038-2752 | 2013-04-01 |
| 1811264559 | Weymouth Surgical LLC | Surgery | 44 Birch St, Suite 206, Derry, NH 03038-2752 | 2011-11-23 |
| 1215267711 | Corinne M Chaar | Dietitian, Registered | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2010-01-05 |
| 1285880377 | Katrina Adele Wayman | Advanced Practice Midwife | 44 Birch St, Suite 200, Derry, NH 03038-2752 | 2008-08-08 |
| 1588831390 | Sheri Eng | Physical Therapist | 44 Birch St, Nutfield Professional Building; Suite 300, Derry, NH 03038-2752 | 2008-05-12 |
| 1346421260 | Sandra A. Cullinan | Speech-Language Pathologist | 44 Birch St, Derry, NH 03038-2752 | 2007-11-20 |
| 1043409006 | Coastal New Hampshie Neurosurgeons | Neurological Surgery | 44 Birch St, Suite 207, Derry, NH 03038-2752 | 2007-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932188455 | Thomas Marks | Orthopaedic Surgery | 44 Birch St Ste 302, Derry, NH 03038-2752 | 2006-01-12 |
| 1861471393 | Richard Straub | Orthopaedic Surgery | 44 Birch St, Suite 305, Derry, NH 03038-2752 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779653 | Northeastern Surgical Specialists | Orthopaedic Surgery | 168 Kinsley St Ste 2, Nashua, NH 03060-3634 | 2020-01-14 |
| 1548621469 | Jason Laurita | Orthopaedic Surgery | 8 Sachem Cir, Unit 3, West Lebanon, NH 03784-1035 | 2016-03-20 |
| 1003243429 | Four Seasons Orthopaedic Center Pa | Orthopaedic Surgery | 9 Washington Place, Suite 101, Bedford, NH 03110 | 2013-09-30 |
| 1982970539 | Michael Paul Morwood | Orthopaedic Surgery | 1900 Lafayette Rd Ste A, Portsmouth, NH 03801-5679 | 2012-03-28 |
| 1578856332 | Edward A Sirlin IIi | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2011-05-25 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1588809529 | Leonard David Emond | Orthopaedic Surgery | 110 Crestview Rd, Manchester, NH 03104-1842 | 2008-12-04 |
| 1114185477 | New England Orthopaedics & Spine | Orthopaedic Surgery | 86 Newcastle Ave, Portsmouth, NH 03801-5216 | 2008-05-22 |
| 1174706071 | Jean Langevin | Orthopaedic Surgery | 580 Sain Johnsbury Road, Alpine Clinic - Littleton, Littleton, NH 03561 | 2007-12-13 |
| 1477658060 | Ralph Robinson Wolf | Orthopaedic Surgery | 159 Kinsley Street, Nashua, NH 03060-3795 | 2006-09-14 |
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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.