DAVID M KELLER (NPI# 1871651968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871651968 |
| Entity Type | Individual |
| Full Name | DAVID M KELLER |
| Credential | M.D. |
| Practice Address |
17030 Lakeside Hills Plz Ste 102 Omaha NE 68130-4656 |
| Mailing Address |
17030 Lakeside Hills Plz Ste 102 Omaha NE 68130-4656 |
| Practice Telephone | 4027585800 |
| Practice Fax Number | 4027585809 |
| Mailing Telephone | 4023301410 |
| Mailing Fax Number | 4023304294 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19885 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192406 | David V Keller | Physician Assistant | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2006-11-20 |
| 1154409282 | David Mark Keller | Family Medicine | 203 East Main St, Richmond, IN 47374 | 2006-11-02 |
| 1356393656 | David Louis Keller | Internal Medicine | 1948 Rolling Vista Dr, Lomita, CA 90717-3769 | 2006-05-16 |
| 1386647949 | David Arlington Keller Sr. | Dentist | 215 Nw 78th St, Vancouver, WA 98665-7972 | 2005-05-27 |
| 1760021919 | David Keller | Occupational Therapy Assistant | 19525 W North Ave, Brookfield, WI 53045-4107 | 2020-01-04 |
| 1093377913 | David Michael Keller | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503-2560 | 2019-07-01 |
| 1578026969 | David M Keller II | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-11 |
| 1346679487 | David Keller | Social Worker | 1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 | 2013-11-08 |
| 1427285519 | David Allen Keller | Dentist | 57 Davison Ct, Lockport, NY 14094-5376 | 2009-06-16 |
| 1174769913 | David Kasey Keller | Pharmacist | 78 Perry Winkle Ln, Huntington, WV 25702-9506 | 2008-12-29 |
| Street Address |
17030 LAKESIDE HILLS PLZ STE 102 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184688939 | Thomas Vinton | Family Medicine | 17030 Lakeside Hills Plz Ste 102, Omaha, NE 68130-4656 | 2006-04-17 |
| 1730648759 | Leanne Grover Galvan | Nurse Practitioner | 17030 Lakeside Hills Plz Ste 102, Omaha, NE 68130-4656 | 2019-03-19 |
| 1376084129 | Abigail L Lanik | Physician Assistant | 17030 Lakeside Hills Plz Ste 102, Omaha, NE 68130-4656 | 2017-03-13 |
| 1316097314 | Maen Haddadin | Family Medicine | 17030 Lakeside Hills Plz Ste 102, Omaha, NE 68130-4656 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1659938777 | Hannah Luksa | Family Medicine | 983075 Nebraska Medical Center Omaha Ne 68198-3075, Omaha, NE 68198-3075 | 2019-05-23 |
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1710458237 | Quality Living Inc | Family Medicine | 6320 N 70th Plz, Omaha, NE 68104-1072 | 2018-12-10 |
| 1851871735 | Cornerstone Nonprofit Healthcare | Family Medicine | 1313 N 48th Ave, Omaha, NE 68132-1612 | 2018-08-20 |
| 1306368691 | Mitchell Kohl | Family Medicine | 16104 Sprague St, Omaha, NE 68116-2895 | 2017-07-09 |
| Find all providers in OMAHA | ||||
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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.