MR. PHELO JOSEPH KELLER (NPI# 1366505612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366505612 |
| Entity Type | Individual |
| Full Name | MR. PHELO JOSEPH KELLER |
| Credential | OTSC |
| Practice Address |
1300 Lakewood Dr Suite D Morgan City LA 70380 |
| Mailing Address |
Po Box 2375 Morgan City LA 70381 |
| Practice Telephone | 9853847900 |
| Practice Fax Number | 9853848049 |
| Mailing Telephone | 9853847900 |
| Mailing Fax Number | 9853848049 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | NBCOT981110 | LA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTC NATIONAL | 950290 | 01 | |
| LA | NBCOT | 981110 | 01 |
| Street Address |
1300 LAKEWOOD DR SUITE D |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1154667210 | Bayou Smiles Center | Dentist | 1205 Victor II Blvd, Morgan City, LA 70380 | 2012-12-18 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| Find all providers in zip 70380 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155782 | Winthrop Christian Walker Jr. | Specialist/Technologist, Other | 65241 Highway 1058, Roseland, LA 70456-2105 | 2020-02-11 |
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1114314564 | Innovative Sleep Solutions | Specialist/Technologist, Other | 507 Porter St, Saint Martinville, LA 70582-3442 | 2015-04-23 |
| 1043610330 | Michael Hernandez | Specialist/Technologist, Other | 971 Maple Creek Dr, Slidell, LA 70461-5341 | 2014-08-25 |
| 1376883678 | Ynohtna Marketta Tureaud | Specialist/Technologist, Other | 8233 John Leblanc, Sorrento, LA 70778 | 2013-02-22 |
| 1053686451 | Brenda J Primeaux | Specialist/Technologist, Other | 18399 Johnny B Hall Memorial Hwy, Rosepine, LA 70659 | 2012-03-19 |
| 1407489750 | Auxilio Neuro-monitoring Services, LLC | Specialist/Technologist, Other | 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 | 2020-02-14 |
| 1740630904 | Justin Ryan Davis | Specialist/Technologist, Other | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2016-06-20 |
| 1225416647 | Laura Vaughn | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2015-05-18 |
| 1356758775 | Virgie Kay Ingles | Specialist/Technologist, Other | 100 Medical Center Dr, Sleep Disorders Center, Slidell, LA 70461-5520 | 2014-07-17 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
Please comment or provide details below to improve the information on MR. PHELO JOSEPH 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.