DR. PAUL MARSHALL KELLER (NPI# 1689677817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689677817 |
| Entity Type | Individual |
| Full Name | DR. PAUL MARSHALL KELLER |
| Credential | M.D. |
| Practice Address |
1341 Medical Park Dr Ste 201 Melbourne FL 32901-3235 |
| Mailing Address |
1341 Medical Park Dr Ste 201 Melbourne FL 32901-3235 |
| Practice Telephone | 3217689914 |
| Practice Fax Number | 3219531894 |
| Mailing Telephone | 3217689914 |
| Mailing Fax Number | 3219531894 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME65934 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 376642000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516348 | Paul Elliott Keller | Dentist | 1934 W Lincoln Ave, Goshen, IN 46526-5907 | 2008-04-29 |
| 1093219255 | Paul Keller | Counselor | 7162 Reading Rd Ste 900, Cincinnati, OH 45237-3879 | 2018-03-22 |
| 1396990941 | Paul S Keller | Optometrist | 2861 S Rochester Rd, Hampton Village, Rochester Hills, MI 48307-4579 | 2008-11-24 |
| 1841450178 | Paul Andrew Keller | Physical Therapist | 2360 Chambers St, Eugene, OR 97405-1861 | 2008-06-10 |
| 1346207537 | Paul Leroy Keller | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-05-01 |
| 1073592721 | Paul D Keller Jr. | Podiatrist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-01-11 |
| Street Address |
1341 MEDICAL PARK DR STE 201 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293859 | Atlantic Orthopaedic Group Pa | Specialist | 1341 Medical Park Dr, Ste 201, Melbourne, FL 32901-3235 | 2005-05-23 |
| 1942678958 | Mark William Snavely | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2015-09-08 |
| 1679802599 | Coastline Imaging Inc | Occupational Therapy Assistant | 1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235 | 2009-12-24 |
| 1861663239 | Andrew T Sander | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2008-03-13 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1134262710 | Stephen Emile Theriault | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2007-02-14 |
| 1568569531 | Terry David Johnson | Occupational Therapist | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2006-09-20 |
| 1265492938 | Russell Emmett Davis IIi | Occupational Therapist | 1341 Medical Park Dr, Melbourne, FL 32901-3235 | 2006-03-25 |
| 1740271717 | David W Ferguson | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1093706079 | Margaret L Avilla | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PAUL MARSHALL KELLER.
| 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.