DR. CHARLES ROBERT KELLER (NPI# 1629189311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629189311 |
Entity Type | Individual |
Full Name | DR. CHARLES ROBERT KELLER |
Credential | D.O. |
Practice Address |
1383 W Hunter St Logan OH 43138-1013 |
Mailing Address |
Po Box 228 Logan OH 43138-0228 |
Practice Telephone | 7403850202 |
Practice Fax Number | 7403802734 |
Mailing Telephone | 7403850202 |
Mailing Fax Number | 7403802734 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-10-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
34003787 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0565240 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1609910850 | Charles Joseph Keller | Chiropractor | 928 Mclean Ave, Yonkers, NY 10704-4103 | 2007-02-19 |
1578652657 | Charles Anthony Keller | Dentist | 919 Maryland Ave E, Saint Paul, MN 55106-2618 | 2006-10-12 |
1558324392 | Charles E. Keller Jr. | Specialist | 1010 W. Laveta Avenue, Suite 175, Orange, CA 92868-4304 | 2006-04-11 |
1730178914 | Charles Francis Keller | Family Medicine | 1601 Nw 114th Street, Suite 257, Clive, IA 50325-7036 | 2005-10-19 |
1730527482 | Charles Fredrick Keller | Rehabilitation Practitioner | 205 S Pratt Ave, Carson City, NV 89701-4730 | 2013-06-04 |
1417921693 | Charles W Keller | Psychologist | 5502 58th St, Suite 600, Lubbock, TX 79414-2000 | 2006-02-15 |
1245212885 | Charles E Keller | Optometrist | 103 W Saint Clair St, Warren, PA 16365-2197 | 2005-11-18 |
Street Address |
1383 W HUNTER ST |
City | LOGAN |
State | OH |
Zip Code | 43138-1013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053303297 | Mark J Scarmack | Pediatrics | 1383 W Hunter St, Logan, OH 43138-1013 | 2005-08-15 |
1417555087 | Hocking Valley Medical Group Transportation | Non-emergency Medical Transport (VAN) | 1383 W Hunter St, Logan, OH 43138 | 2020-10-15 |
1962059741 | Hocking Valley Community Hospital | Clinic/Center | 1383 W Hunter St, Logan, OH 43138-1013 | 2019-08-26 |
1073991014 | Amanda Downs Davis | Nurse Practitioner | 1383 W Hunter St, Logan, OH 43138-1013 | 2015-05-11 |
1447652110 | Fallon Magdich-ritchey | Nurse Practitioner | 1383 W Hunter St, Logan, OH 43138-1013 | 2014-09-24 |
1255695383 | Leonard Justin Wheeler | Social Worker | 1383 W Hunter St, Logan, OH 43138-1013 | 2012-07-03 |
1801196852 | Jennifer Lynn Shull | Nurse Practitioner | 1383 W Hunter St, Logan, OH 43138-1013 | 2010-10-25 |
1356402341 | Chelsea Louella Fitzgerald | Social Worker | 1383 W Hunter St, Logan, OH 43138-1013 | 2006-12-13 |
1205857257 | Brian L Still | Family Medicine | 1383 W Hunter St, Logan, OH 43138-1013 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
Find all providers in zip 43138 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
1053941518 | Luciana Sonnenlitter | Family Medicine | 33703 Lake Rd, Avon Lake, OH 44012-1009 | 2020-01-23 |
1952950453 | Care Excellence LLC | Family Medicine | 3622 Belmont Ave Ste 20, Youngstown, OH 44505-1444 | 2019-09-06 |
1689027500 | Annemarie E Miller | Family Medicine | 26900 Cedar Rd. Beachwood Family Health & Surgery Cente, Beachwood, OH 44122 | 2016-07-15 |
1952708786 | Dr. Paul Wilson, Inc | Family Medicine | 440 S Reynolds Rd Ste B, Toledo, OH 43615-5900 | 2014-11-21 |
1568875409 | Integrated Healthcare LLC | Family Medicine | 222 Heathermere Loop, Galena, OH 43021-8053 | 2014-06-09 |
1184964389 | James William Ferraro II | Family Medicine | 750 E Broad St Ste 200, Columbus, OH 43205-1190 | 2013-02-25 |
1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
1831418177 | Gary Lowell Whitacre | Family Medicine | 5555 Scarborough Blvd, Columbus, OH 43232-4730 | 2010-05-26 |
1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
Find all providers with the same taxonomy |
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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.