ERIC KELLER (NPI# 1508950981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508950981 |
| Entity Type | Individual |
| Full Name | ERIC KELLER |
| Credential | MD |
| Practice Address |
4005 High Resort Blvd Se Pmg High Resort 4005 Rio Rancho NM 87124-5906 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054626000 |
| Practice Fax Number | 5054628686 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 92164 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E4725 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154150 | Eric P Keller | Physician Assistant | 9 Independence Way, Valatie, NY 12184-5116 | 2006-05-24 |
| 1588056113 | Eric James Keller | Radiology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-02-18 |
| 1972766855 | Eric Keller | Specialist | 925 8th Ave N, Seattle, WA 98109-6304 | 2008-07-09 |
| 1972709194 | Eric Lawrence Keller | Pediatrics | 506 6th St, Department of Pediatrics, Brooklyn, NY 11215-3609 | 2007-06-25 |
| 1972692044 | Eric Nelson Keller | Chiropractor | 4350 Van Cortlandt Park E, Bronx, NY 10470-1875 | 2006-10-12 |
| Street Address |
4005 HIGH RESORT BLVD SE PMG HIGH RESORT 4005 |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701759 | Doris Kay Gonzales | Nurse Practitioner | 4005 High Resort Blvd Se, Pmg Rio Rancho High Resort 4005, Rio Rancho, NM 87124-5906 | 2005-06-24 |
| 1770149395 | Kristyn Bilak | Registered Nurse | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2019-05-20 |
| 1770067167 | Jacqueline S Guinn | Family Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2018-09-20 |
| 1073033650 | David Allen Zarikta | Nurse Practitioner | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2017-06-23 |
| 1720538390 | Ludmila Zlatkin | Nurse Practitioner | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-10-07 |
| 1144774712 | Ebubechukwu Njemanze | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-11 |
| 1578016994 | Erin Nicole Etzel | Psychologist | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-02 |
| 1467801399 | Simone Green | Pediatrics | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-06-10 |
| 1003275959 | Shae Ray | Registered Nurse | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-02-21 |
| 1801252895 | Julio Cesar Hernandez Roman | Physician Assistant | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386296044 | Andrea Grano | Pediatrics | 1534 Unser Blvd Se, Rio Rancho, NM 87124-6377 | 2019-07-12 |
| 1710322383 | Marcelo Jose Lacayo Baez | Pediatrics | 2400 Unser Blve Se, Rio Rancho, NM 87124-4740 | 2013-05-08 |
| 1972754356 | Dr. Phil Pediatrics, P. A. | Pediatrics | 4111 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1068 | 2008-10-03 |
| 1720127186 | Stanley J Zychowski | Pediatrics | 1380 Rio Rancho Dr Se, Pmb 283, Rio Rancho, NM 87124-1006 | 2007-02-05 |
| 1679680623 | Rebecca L Webb | Pediatrics | 2216 Rancho Plata Ave Se, Rio Rancho, NM 87124-8711 | 2006-08-24 |
| 1104859768 | Kristina Gutierrez-barela | Pediatrics | 1721 Rio Rch Dr Se, Rio Rancho, NM 87124-1052 | 2006-07-08 |
| 1437159993 | Philip J Leonardelli | Pediatrics | 1704 Southern Blvd Se, Rio Rancho, NM 87124-3505 | 2005-07-27 |
| 1528599727 | Priya Vallabh Shah | Pediatrics | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-21 |
| 1467801399 | Simone Green | Pediatrics | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-06-10 |
| 1528184421 | Gregory E. Jochems | Pediatrics | Pmg High Resort 4005, 4005 High Resort Blvd, Rio Rancho, NM 87124 | 2007-03-22 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.