PHILIP E KELLER (NPI# 1972585131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972585131 |
| Entity Type | Individual |
| Full Name | PHILIP E KELLER |
| Credential | MD |
| Practice Address |
1 Walter Scholer Dr Lafayette IN 47909-6303 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01066617A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 23984 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | JOHN DEERE | WI0140 | 01 |
| WI | RAILROAD MEDICARE | 080076573 | 01 |
| WI | DEAN | 12550 | 01 |
| IN | 200960920 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000631756 | 01 |
| WI | TOUCHPOINT | 23984 | 01 |
| WI | 30500300 | 05 | |
| WI | UNITY | 39080723640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551813 | Philip Raymond Keller | Behavioral Analyst | 44 School St Rm 325, Boston, MA 02108 | 2017-11-07 |
| 1649505082 | Philip A Keller | Physician Assistant | 2808 S Croatan Hwy, Suite 565, Nags Head, NC 27959-9024 | 2009-10-02 |
| Street Address |
1 WALTER SCHOLER DR |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838464 | Christine A Hickey | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2019-02-28 |
| 1427521814 | Kristie Tidrick | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2019-01-08 |
| 1609225580 | Lauren N. Sallese | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2016-06-10 |
| 1356705313 | Sonya Janssen-luper | Social Worker | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2016-04-06 |
| 1578988440 | Melissa Kaye Kovich | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2014-02-28 |
| 1083054696 | Nanette R Julian | Nurse Practitioner | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2013-06-27 |
| 1902192776 | Kimberly Rogers | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2011-06-21 |
| 1457660235 | Nasreen Haq | Internal Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2010-09-28 |
| 1902125503 | Ingrid Bocanegra | Family Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2010-05-20 |
| 1104086958 | Jeffrey Wang | Family Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| Find all providers in zip 47909 | ||||
| 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 |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1013471259 | Courtney Cobb | Family Medicine | 500 Juliette Pl, Lafayette, LA 70506-4571 | 2019-01-22 |
| 1538672993 | Pamela Rene Roeder | Family Medicine | 8196 N 1000 E, Lafayette, IN 47905-9742 | 2017-11-08 |
| 1790297935 | Diamond Medical Group | Family Medicine | 830 Park East Blvd, Lafayette, IN 47905-0778 | 2017-10-27 |
| 1780114074 | Mimi Nguyen | Family Medicine | 4212 W Congress St Ste 1600, Lafayette, LA 70506-6767 | 2017-06-19 |
| 1679922249 | Lafayette Health Ventures, Inc | Family Medicine | 917 W Gloria Switch Road, Lafayette, LA 70507-2309 | 2016-06-06 |
| 1003278854 | Rebecca Lynn Currier Curran | Family Medicine | 2932 Ambassador Caffery Parkway, Lafayette, LA 70506 | 2016-03-22 |
| 1871989244 | Justin Matthew Pratt | Family Medicine | 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506 | 2015-04-12 |
| 1558761973 | A. Elaine Ashby, M.d., Inc. | Family Medicine | 3732 Mt Diablo Blvd Ste 385, Lafayette, CA 94549-3625 | 2014-09-04 |
| Find all providers in LAFAYETTE | ||||
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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.