DR. GLEN E KELLER (NPI# 1730169897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730169897 |
| Entity Type | Individual |
| Full Name | DR. GLEN E KELLER |
| Credential | D.C. |
| Practice Address |
10400 Lancaster Newark Rd Ne Millersport OH 43046-8003 |
| Practice Telephone | 7404672486 |
| Practice Fax Number | 7404672498 |
| Mailing Telephone | 7404672486 |
| Mailing Fax Number | 7404672498 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIA 576 | ID | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3369 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CAQH | 11176716 | 01 |
| OH | AETNA | 5585251 | 01 |
| OH | BLUE CROSS | 000000509974 | 01 |
| OH | 2474059 | 05 | |
| OH | AMERICAN SPECIALTY HEALTH | 1003201 | 01 |
| OH | AMERICAN CHIRO NTWRK(ACN) | 665855 | 01 |
| Street Address |
10400 LANCASTER NEWARK RD NE |
| City | MILLERSPORT |
| State | OH |
| Zip Code | 43046-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677606 | Erika Maria Schilling | Massage Therapist | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2019-06-07 |
| 1285006197 | Anton Leroy Keller | Chiropractor | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2015-10-30 |
| 1184781171 | Keller Family Chiropractic, LLC | Chiropractor | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003088857 | Nicole Renee Miller | Licensed Practical Nurse | 2642 East Park Street, Millersport, OH 43046 | 2008-04-01 |
| 1104948843 | Janice Lee Fetherolf | Home Health Aide | 12209 Lecorne St, Millersport, OH 43046 | 2007-04-04 |
| 1306956644 | Haga Corporation | Pharmacy | 12075 Lancaster St, Millersport, OH 43046 | 2006-08-30 |
| 1386858082 | David Craig Brookover | Pharmacist | 11880 Lancaster St, Millersport, OH 43046-0184 | 2007-05-10 |
| 1083662951 | Michael James Martin Jr. | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1790733848 | Joseph Anthony Trapp | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1336197474 | James Walter Whetstone | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1750897955 | Dr. Montgomery Orthodontics Inc | Dentist | 11985 Lancaster St, Millersport, OH 43046-0640 | 2017-12-26 |
| 1508040676 | Liberty Healthcare Services, LLC | Home Health | 12402 Lancaster St., Millersport, OH 43046-3712 | 2007-12-24 |
| 1467782011 | Kristie N Sisson | Registered Nurse | 12370 Wolfe Blvd, Millersport, OH 43046-7000 | 2010-01-04 |
| Find all providers in zip 43046 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285006197 | Anton Leroy Keller | Chiropractor | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2015-10-30 |
| 1184781171 | Keller Family Chiropractic, LLC | Chiropractor | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436326 | Nathan Granger | Chiropractor | 1022 W Auglaize St Ste 102, Wapakoneta, OH 45895-1365 | 2020-10-28 |
| 1891302881 | Az Chiro LLC | Chiropractor | 13477 Prospect Rd Ste 101a, Strongsville, OH 44149-3863 | 2020-09-24 |
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1699387977 | Scioto Valley Chiropractic and Rehab Center LLC | Chiropractor | 1716 11th St, Portsmouth, OH 45662-4528 | 2020-08-19 |
| 1508476672 | Precision Active Health | Chiropractor | 27600 Chagrin Blvd Ste 160, Woodmere, OH 44122-4421 | 2020-08-04 |
| 1568089779 | Harry John Dermanelian II | Chiropractor | 3504 Secor Rd Ste 325, Toledo, OH 43606-1545 | 2020-07-03 |
| 1407472004 | Physical Medicine Center of St Elizabeth | Chiropractor | 1 Elizabeth Pl Ste 1100b, Dayton, OH 45417-3445 | 2020-06-19 |
| 1972128817 | Patriot Holdings of Ohio, LLC | Chiropractor | 3860 Hard Rd, Dublin, OH 43016-8025 | 2020-06-16 |
| 1487277166 | Jared Mainous | Chiropractor | 10005 Fremont Pike Ste B, Perrysburg, OH 43551-3388 | 2020-05-28 |
| 1922621499 | Paul A Books | Chiropractor | 7226 S State Route 48, Maineville, OH 45039-9775 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSPORT |
| Zip Code | 43046 |
Please comment or provide details below to improve the information on DR. GLEN E 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.