LISA KAY KELLER (NPI# 1497780795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497780795 |
| Entity Type | Individual |
| Full Name | LISA KAY KELLER |
| Credential | MD |
| Practice Address |
940 Royal Avenue Suite 350 Medford OR 97504-6194 |
| Mailing Address |
919 Reddy Avenue Medford OR 97504-7438 |
| Practice Telephone | 5417327460 |
| Practice Fax Number | 5417327461 |
| Mailing Telephone | 5412459116 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD27247 | OR | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | G38545 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G385451 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016646 | Lisa Keller | Registered Nurse | 576 Longacre Ave, Woodmere, NY 11598-2308 | 2018-06-10 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1447692660 | Lisa Keller | Counselor | 9500 N Oracle Rd, Suite 162j, Tucson, AZ 85704-8523 | 2013-07-30 |
| 1801843867 | Lisa M Keller | Physical Therapist | 136 Euclid Ave, Wadsworth, OH 44281-1501 | 2006-05-27 |
| 1285184291 | Lisa Keller | Social Worker | 715 Lake St Ste 800, Oak Park, IL 60301-1417 | 2016-10-13 |
| 1215393285 | Lisa Keller | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2016-01-06 |
| 1164675989 | Lisa S Keller | Optometrist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2008-10-23 |
| 1316105075 | Lisa Keller | Registered Nurse | 1675 Highland Ave, Room P4 4118, Madison, WI 53792-0002 | 2008-05-29 |
| 1508066309 | Lisa Ann Keller | Nurse Practitioner | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-07-19 |
| 1205051562 | Lisa Gwyn Keller | Physician Assistant | 6169 S Balsam Way, Suite 250, Littleton, CO 80123-3062 | 2007-04-13 |
| Street Address |
940 ROYAL AVENUE SUITE 350 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1942697669 | Rebecca Elizabeth Elliott | Obstetrics & Gynecology | 1698 E Mcandrews Rd Ste 350, Medford, OR 97504-5590 | 2015-04-21 |
| 1215340070 | Sylvia Cho | Obstetrics & Gynecology | 101 Main St Ste 101, Medford, MA 02155 | 2014-06-09 |
| 1558688549 | Emily S Steinbis | Obstetrics & Gynecology | 840 Royal Ave Ste 350, Medford, OR 97504-6461 | 2010-04-29 |
| 1447392774 | Associates for Womens Health of Southern Oregon LLC | Obstetrics & Gynecology | 3190 State St Ste 102, Medford, OR 97504-8498 | 2007-02-13 |
| 1952343873 | Linda M Hopkins | Obstetrics & Gynecology | 2911 Siskiyou Blvd, Medford, OR 97504 | 2006-06-12 |
| 1538133343 | Ellen Marie Guthrie | Obstetrics & Gynecology | 13 Bradlee Rd, Medford, MA 02155 | 2006-02-16 |
| 1154302768 | Margaret Susan Young | Obstetrics & Gynecology | 143 South Gibson Street, Medford, WI 54451-1622 | 2005-11-10 |
| 1689655839 | Matthias G Muenzer | Obstetrics & Gynecology | 101 Main Street, Suite 214, Medford, MA 02155 | 2005-11-07 |
| 1871046680 | Rogue Womens Health | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-07-28 |
| Find all providers in MEDFORD | ||||
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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.