ROBERT MICHAEL KELLER (NPI# 1598779399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598779399 |
| Entity Type | Individual |
| Full Name | ROBERT MICHAEL KELLER |
| Credential | PA-C |
| Practice Address |
5 First Village Dr Pinehurst NC 28374-8724 |
| Mailing Address |
Po Box 2000 Pinehurst NC 28370-2000 |
| Practice Telephone | 9102956831 |
| Practice Fax Number | 9102950244 |
| Mailing Telephone | 9102956831 |
| Mailing Fax Number | 9102950244 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
103335 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS NC | 12586 | 01 | |
| RAILROAD MEDICARE | P00102532 | 01 | |
| NC | 8912586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862322 | Robert Keller | Acupuncturist | 1949 Route 70 E Ste 8, Cherry Hill, NJ 08003-2145 | 2012-08-31 |
| 1598980880 | Robert Keller | Internal Medicine | 950 Cass St, Suite B, Monterey, CA 93940-4546 | 2007-04-13 |
| 1316025653 | Robert Keller | Respiratory Therapist, Certified | 201 S Maple Ave, Oak Park, IL 60302-3076 | 2006-11-02 |
| 1962445346 | Robert Tyson Keller | Internal Medicine | 301 Clifford Center Dr, Suite 115, Fort Worth, TX 76108-4443 | 2006-06-14 |
| 1376503730 | Robert Warren Keller | Optometrist | 2535 S State St, Salt Lake City, UT 84115-3109 | 2006-03-27 |
| 1255852869 | Robert Carson Keller Jr. | Psychologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-07-05 |
| 1598184061 | Robert Keller | Massage Therapist | 166 Water St, Newburyport, MA 01950-3144 | 2014-04-14 |
| 1154760866 | Robert G Keller | Otolaryngology | 3030 N Circle Dr Ste 300, Colorado Springs, CO 80909 | 2013-06-17 |
| 1962794503 | Robert Andrew Keller | Orthopaedic Surgery | 2799 W. Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2011-05-13 |
| 1033282454 | Robert Michael Keller Jr. | Nurse Practitioner | 5 E Chestnut St, Sisseton, SD 57262-1448 | 2006-11-15 |
| Street Address |
5 FIRST VILLAGE DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423170 | Lorraine Mayer-wolpert Berman | Surgery | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2005-11-09 |
| 1700493731 | Zachary Lilly | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2020-09-24 |
| 1114574431 | Hannah Hailey Olliff | Audiologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-08-21 |
| 1659836500 | Psc Commercial Bundle, LLC | Case Management | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-02-05 |
| 1215447834 | Ashton Nanette Wedemeyer | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-10-10 |
| 1992244040 | Nadya Lally | Nurse Practitioner | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-02-21 |
| 1407202153 | Sarah Beth Mulhaul | Social Worker | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-12 |
| 1427403047 | Stefanie Jo Mansfield | Specialist/Technologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-02 |
| 1902274459 | Travis Lee Huffman | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2015-09-14 |
| 1679941124 | Katherine Mehry Tahamtan | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374 | 2015-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720294408 | Matthew Patrick Mooney | Physician Assistant | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2007-05-16 |
| 1043241763 | James C Nichols | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-07-05 |
| 1184652950 | Chad A Frazer | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-06-29 |
| 1861438590 | Robert A Hodge | Physician Assistant | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
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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.