DR. TIM BURKE KELLER (NPI# 1457311722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457311722 |
| Entity Type | Individual |
| Full Name | DR. TIM BURKE KELLER |
| Credential | MD |
| Practice Address |
1500 James Simpson Jr Way Ste 201 Covington KY 41011-0801 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8596554111 |
| Practice Fax Number | 8596554815 |
| Mailing Telephone | 8596554111 |
| Mailing Fax Number | 8596554815 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33871 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64338718 | 05 | |
| OH | 2159159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700968179 | Tim Charles Keller | Occupational Therapist | 5214 S East Street, Building D Suite 1, Indianapolis, IN 46227 | 2006-10-19 |
| Street Address |
1500 JAMES SIMPSON JR WAY STE 201 |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-0801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914381 | Eugene James Burchell Jr. | Obstetrics & Gynecology | 1500 James Simpson Jr Way, Would Care Dept., Covington, KY 41011-0801 | 2005-07-01 |
| 1265033799 | Brianna Powell | Dietitian, Registered | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2020-11-02 |
| 1215583935 | Brenda Sis | Dietitian, Registered | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2019-08-19 |
| 1851855589 | Caitlin Troklus | Dietitian, Registered | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2019-01-28 |
| 1053847707 | Rae Elizagaray | Dietitian, Registered | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2017-05-02 |
| 1902346521 | Natalia Andrea Cuesta | Physical Therapist | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2017-03-01 |
| 1609316207 | Melissa Burleigh | Physical Therapist | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2017-03-01 |
| 1780122895 | Diana Weiglein | Physical Therapy Assistant | 1500 James Simpson Jr Way, Physical Therapy, Covington, KY 41011-0801 | 2017-02-09 |
| 1568812014 | Melissa Justine Mauntel | Family Medicine | 1500 James Simpson Jr Way, Covington, KY 41011 | 2016-06-15 |
| 1659735173 | Deepti Sharma | Family Medicine | 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1750878641 | Cynthia Diane Brown | Family Medicine | 926 Spring St, Covington, KY 41016-1655 | 2018-04-17 |
| 1194179101 | Joseph Andrew Freeman | Family Medicine | 1995 Highway 51 S Ste 204, Covington, TN 38019-3655 | 2016-04-15 |
| 1124415799 | Alliance Xpress Care LLC | Family Medicine | 919 S Craig Ave Ste A, Covington, VA 24426-1954 | 2015-04-22 |
| 1831597103 | Dr Andrew Malinchak Inc | Family Medicine | 4128 Highway 278 Ne, Covington, GA 30014-2494 | 2014-12-18 |
| 1790045938 | Sarah Lynn Green | Family Medicine | 1999 Highway 51 South, Suite A, Covington, TN 38019-3630 | 2012-05-22 |
| 1821355637 | Keisha D'andrea Harvey | Family Medicine | 70124 3rd St, Covington, LA 70433-8407 | 2012-04-18 |
| 1700185519 | Smitty Smith | Family Medicine | 874 Woodsprings Ct, Covington, LA 70433-7489 | 2011-03-18 |
| 1336460880 | John D Molesky Do Inc | Family Medicine | 550 Mote Dr Ste 2, Covington, OH 45318-1273 | 2010-06-18 |
| 1871824177 | Michael John Haas | Family Medicine | 72385 Industry Park Rd, Covington, LA 70435-8607 | 2010-01-26 |
| Find all providers in COVINGTON | ||||
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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.