DR. THOMAS MCNEESE KELLER (NPI# 1356318232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356318232 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MCNEESE KELLER |
| Credential | M.D., M.P.H. |
| Practice Address |
1212 Farmers Ln Suite 4 Santa Rosa CA 95405-6747 |
| Practice Telephone | 7075283374 |
| Practice Fax Number | 7075283201 |
| Mailing Telephone | 7075283374 |
| Mailing Fax Number | 7075283201 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | G 27288 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G27288 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G27288 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265718316 | Thomas Vernon Keller | Chiropractor | 2101 South 10th Street, Los Banos, CA 93635-5006 | 2011-11-02 |
| 1912914375 | Thomas Allen Keller | Psychologist | 7863 La Mesa Blvd, Suite 102, La Mesa, CA 91941-3657 | 2006-08-01 |
| 1598268237 | Thomas Keller | Counselor | 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | 2018-03-08 |
| 1154844322 | Thomas Franklin Keller | Dentist | 8340 Colerain Ave, Cincinnati, OH 45239-3916 | 2017-07-19 |
| 1356761944 | Thomas Keller | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Lane 154, Stanford, CA 94305-5133 | 2014-04-22 |
| 1376817510 | Thomas S Keller | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2012-03-06 |
| 1225297997 | Thomas C Keller | Orthopaedic Surgery | 30 Aulike St, Suite 201, Kailua, HI 96734-2739 | 2008-06-06 |
| 1194832279 | Thomas Clark Keller Sr. | Dentist | 21 West Rd, 104, Towson, MD 21204-2325 | 2006-08-24 |
| 1972523918 | Thomas A Keller Jr. | Internal Medicine | 601 John St, Suite 100, Kalamazoo, MI 49007-5341 | 2006-07-20 |
| 1992720569 | Thomas A Keller | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-13 |
| Street Address |
1212 FARMERS LN SUITE 4 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-6747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850884 | James Leroy Thomson | General Practice | 1212 Farmers Ln, Santa Rosa, CA 95405-6747 | 2005-09-01 |
| 1053662353 | Thomas M. Collins Chiropractic, Inc. | Clinic/Center | 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405-6747 | 2012-09-26 |
| 1760781231 | Thomas M. Keller, M.d. Professional Corporation | Pain Medicine | 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 | 2011-03-23 |
| 1730212218 | Lee Histology Lab | Clinical Medical Laboratory | 1212 Farmers Ln, 4, Santa Rosa, CA 95405-6747 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215437249 | Jason Edward Pope Md Inc | Pain Medicine | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2018-02-16 |
| 1760781231 | Thomas M. Keller, M.d. Professional Corporation | Pain Medicine | 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on DR. THOMAS MCNEESE KELLER.
| 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.