RICHARD KELLER (NPI# 1831319383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831319383 |
| Entity Type | Individual |
| Full Name | RICHARD KELLER |
| Credential | M.D. |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Practice Telephone | 7073038307 |
| Practice Fax Number | 7073031992 |
| Mailing Telephone | 7073038307 |
| Mailing Fax Number | 7073031992 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A111086 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8W6315 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619261047 | Richard Lantz Keller | Counselor | 1498 S Laredo St, Aurora, CO 80017-4003 | 2011-06-02 |
| 1619292182 | Richard Keller | Radiology | 1235 East 200 South #702, 1235 East 200 South #702, Salt Lake City, UT 84102-8410 | 2010-03-29 |
| 1437145141 | Richard Loran Keller | Family Medicine | 1738 Washington St, Waukegan, IL 60085-5137 | 2005-09-27 |
| 1588665186 | Richard Allen Keller | Physician Assistant | 891 Eureka St, Weatherford, TX 76086-5807 | 2005-08-03 |
| 1861004830 | Richard Keller | Pharmacist | 915 W Northern Ave, Pueblo, CO 81004-3195 | 2020-08-20 |
| 1063647410 | Richard Dempsey Keller | Rehabilitation Practitioner | 102 Irving St Nw, Washington, DC 20010-2921 | 2009-05-28 |
| 1144477464 | Richard Keller | Family Medicine | 1160 Patterson Rd, Grand Junction, CO 81506-8275 | 2008-08-19 |
| 1154496230 | Richard J Keller | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-11-22 |
| 1669489159 | Richard S. Keller | Emergency Medicine | 800 W Central Rd, Arlington Hts, IL 60005-2349 | 2006-08-01 |
| 1962451799 | Richard A Keller | Dermatology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-09 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149749 | Rudy Y Santos | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2005-07-28 |
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1952953093 | Renee Mckenna | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-07-09 |
| 1023675303 | Saad Sultan | Pharmacist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-05-22 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640820 | Northern California Medical Assoc Inc | Internal Medicine | 830 2nd St Ste A, Santa Rosa, CA 95404-4620 | 2019-10-11 |
| 1457613275 | Shelleen E. Denno, Md, Inc. | Internal Medicine | 2285 Olivet Ln, Santa Rosa, CA 95401-3860 | 2012-06-08 |
| 1043509920 | Ann Katz Press | Internal Medicine | 30 Mark West Springs Rd Ofc, Santa Rosa, CA 95403-1436 | 2011-03-31 |
| 1376786947 | Jaya Reddy Mallidi | Internal Medicine | 500 Doyle Park Dr Ste G05, Santa Rosa, CA 95405-4555 | 2009-04-13 |
| 1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
| 1639355266 | North Coast Hospitalist, PC | Internal Medicine | 122 Calistoga Rd, 305, Santa Rosa, CA 95409-3702 | 2008-01-14 |
| 1932388659 | Jennifer Nguyen Hubert, D.o., Inc | Internal Medicine | 1014 Hopper Ave, # 615, Santa Rosa, CA 95403-1613 | 2007-10-30 |
| 1144412560 | Zeyad Hashem Kanaan | Internal Medicine | 3883 Airway Dr Ste 220, Santa Rosa, CA 95403 | 2007-08-10 |
| 1447451935 | Todd Jay Hofeling | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403 | 2007-05-30 |
| 1932244779 | John Mcdougall | Internal Medicine | 2777 4th St, Santa Rosa, CA 95405-4795 | 2007-02-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.