JOHN MICHAEL KELLER (NPI# 1518981588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518981588 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL KELLER |
| Credential | MD |
| Practice Address |
555 E Market St Elmira NY 14901-3223 |
| Practice Telephone | 6077377002 |
| Practice Fax Number | 6077371529 |
| Mailing Telephone | 6077377002 |
| Mailing Fax Number | 6077371529 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
212832 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912281965 | John B Keller | Dentist | 1701 Clearwater Ave, Suite B, Bloomington, IL 61704-6433 | 2011-10-07 |
| 1639212145 | John C Keller | Physical Therapist | 4601 Lake Boone Trl Ste 2e, Raleigh, NC 27607-7518 | 2007-02-14 |
| 1063563138 | John L Keller | Pharmacist | 500 Hwy 72nd West Rolla, Hillcrest Shopping Ctr, Rolla, MO 65401 | 2007-01-16 |
| 1588714141 | John Joseph Keller | Dentist | 552 East Main Street, Anoka, MN 55303 | 2007-01-12 |
| 1760562334 | John David Keller Iv | Dentist | 4920 Hononegah Rd, Roscoe, IL 61073-7778 | 2006-10-17 |
| 1770549065 | John L Keller | Chiropractor | 2988 W Huntsville Ave, Ste. C, Springdale, AR 72762-7726 | 2006-04-25 |
| 1962462937 | John A Keller | Specialist | 108 North Park Dr, Fayetteville, GA 30214 | 2006-03-24 |
| 1578556726 | John W Keller | Plastic Surgery | 1130 W 4th St Ste 3202, Lawrence, KS 66044-1328 | 2005-08-23 |
| 1467956433 | John Keller | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Emergency Medicine, Los Angeles, CA 90095-7419 | 2018-03-22 |
| 1316488463 | John Keller | Physician Assistant | 2211 E Franklin Blvd, Ste 100, Gastonia, NC 28054-4985 | 2017-03-08 |
| Street Address |
555 E MARKET ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731123 | St. Joseph's Hospital | General Acute Care Hospital | 555 E Market St, Elmira, NY 14901-3223 | 2005-06-24 |
| 1396113072 | St. Joseph's Hospital/ Arnot Health | Rehabilitation Hospital | 555 E Market St, Elmira, NY 14901-3223 | 2015-09-11 |
| 1922277086 | Joel Adam Drake | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2008-02-22 |
| 1053591735 | Leann Fayne Shelmire | Physician Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-11-09 |
| 1538356845 | Elizabeth Helene O'herron-tolbert | Physician Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-10-01 |
| 1407055882 | Anothony Dominick Patricelli Jr. | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| 1982803243 | Laura J Fleming | Dietitian, Registered | 555 E Market St, Elmira, NY 14901-3223 | 2007-07-16 |
| 1275735326 | Denise Marie Mckerrow | Specialist | 555 E Market St, Elmira, NY 14901-3223 | 2007-06-01 |
| 1578783130 | Linda M Whittemore | Physical Therapy Assistant | 555 E Market St, Elmira, NY 14901-3223 | 2007-04-26 |
| 1629117064 | Rebecca Ann Golding | Nurse Practitioner | 555 E Market St, St Joseph's Hospital, Elmira, NY 14901 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346493780 | Herman Berliss | Psychiatry & Neurology | 22 Graycliff Dr, Elmira, NY 14903-7971 | 2008-10-29 |
| 1033315106 | April Laverne Roberts | Psychiatry & Neurology | 100 N Main Street, Suite 200, Elmira, NY 14901 | 2007-06-25 |
| 1194928911 | Tinu Addams Medical PC | Psychiatry & Neurology | 311 B W Water Street, Elmira, NY 14901-2914 | 2007-06-08 |
| 1598805657 | Alec J Whyte | Psychiatry & Neurology | 959 W Water St, Elmira, NY 14905-2316 | 2007-02-07 |
| 1053342576 | Albert K Chen | Psychiatry & Neurology | 361 W Water St, Elmira, NY 14905-2519 | 2006-07-05 |
| 1861915290 | Maria Rita A Macapinlac | Psychiatry & Neurology | 100 Washington St, Elmira, NY 14901-2849 | 2017-07-18 |
| 1174937288 | Hannah Rose Bushnell | Psychiatry & Neurology | 600 Roe Ave, Elmira, NY 14905-1629 | 2014-06-17 |
| 1467884932 | Razaullah Khan | Psychiatry & Neurology | 100 Washington St, Elmira, NY 14901-2849 | 2013-08-06 |
| 1982995726 | Melihat Fidan Nowak | Psychiatry & Neurology | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2011-04-27 |
| 1104089390 | Ejiro Vivian Agboro-idahosa | Psychiatry & Neurology | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2008-07-08 |
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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.