JEFFREY L KELLER (NPI# 1962459875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962459875 |
| Entity Type | Individual |
| Full Name | JEFFREY L KELLER |
| Credential | MD |
| Practice Address |
90 S Bedford Rd Care Mount Medical PC Mount Kisco NY 10549-3412 |
| Mailing Address |
110 S Bedford Rd Care Mount Medical PC Mount Kisco NY 10549-3446 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9142421516 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142421516 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 188631 | NY | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
188631 | NY | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
188631 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DME | 0667910001 | 01 |
| NY | 01655114 | 05 | |
| NY | MEDICARE RAILROAD | P00421812 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203220 | Jeffrey S Keller | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-03-11 |
| 1952752156 | Jeffrey Keller | Physical Therapist | 1807 W Broadway Blvd, Sedalia, MO 65301-2501 | 2016-06-29 |
| 1144385196 | Jeffrey I Keller | Chiropractor | 199 Shirley Ave, Revere, MA 02151-3258 | 2006-12-27 |
| 1619956364 | Jeffrey Keller | Emergency Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-01-11 |
| Street Address |
90 S BEDFORD RD CARE MOUNT MEDICAL PC |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631762 | Leonard A. Wald | Specialist | 90 S Bedford Rd, Caremount Medical, PC, Mount Kisco, NY 10549-3412 | 2005-06-30 |
| 1427682384 | Aimee Lee | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2020-02-28 |
| 1376186676 | Christina Louise Mcardle | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-10-20 |
| 1740835107 | Ashley Thomas | Physician Assistant | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-08-02 |
| 1407314156 | Jennifer Difalco | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-03-12 |
| 1699267104 | Erica Choset | Physician Assistant | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2018-05-31 |
| 1598277030 | Caremount Health Solutions Aco LLC | Internal Medicine | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2017-10-24 |
| 1639619679 | Theresa M Bottari | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2017-02-23 |
| 1174075824 | Patricia Geraldine Mcpartland | Nurse Practitioner | 90 S Bedford Rd, Caremount Medical PC, Mount Kisco, NY 10549-3412 | 2016-10-28 |
| 1528511409 | Jerel John | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568547008 | Lawrence A. Lewis | Otolaryngology | 344 E Main St, Suite 103, Mount Kisco, NY 10549-3027 | 2006-10-25 |
| 1306886494 | John C Scott | Otolaryngology | 90 S Bedford Rd, Mount Kisco Medical Group, PC, Mount Kisco, NY 10549-3412 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766361 | Ali Agarabi | Otolaryngology | 675 Westview Dr, Mattituck, NY 11952-2963 | 2020-03-26 |
| 1932739281 | Ear Nose & Throat Medical Services of New York, Pllc | Otolaryngology | 8 Quaker Ridge Rd, Glen Head, NY 11545-3326 | 2020-01-24 |
| 1669002283 | Robert I Kaplan Md Pllc | Otolaryngology | 1524 Route 9 Ste 2, Halfmoon, NY 12065-8646 | 2020-01-23 |
| 1154965648 | B Thuy Le Md P C | Otolaryngology | 589 Broadway Fl 2, New York, NY 10012-3231 | 2019-10-29 |
| 1659938959 | Tony Richa | Otolaryngology | Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 | 2019-05-22 |
| 1003372632 | Nancy King Md Pllc | Otolaryngology | 128 Mott St Ste 608, New York, NY 10013-5589 | 2019-02-19 |
| 1265919179 | Rian Rosen | Otolaryngology | 420 Madison Ave Rm 503, New York, NY 10017-1175 | 2018-07-24 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1003308172 | Greater Buffalo Ent | Otolaryngology | 3950 E Robinson Rd Ste 106, Amherst, NY 14228-2042 | 2018-06-04 |
| 1184141798 | Ofer Azoulay | Otolaryngology | 185 Montague St Fl 5, Brooklyn, NY 11201-3608 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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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.