Terrence J Keller (NPI# 1861714875, PAC ID# 2466772207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861714875 |
| PAC ID by PECOS | 2466772207 |
| Professional Enrollment ID | I20150519002441 |
| Full Name | Terrence J Keller |
| Organization Legal Name | LAKE REGION HEALTHCARE CORPORATION |
| Address |
2311 W Lincoln Ave Fergus Falls MN 56537-1064 |
| Phone Number | 2187396800 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971565334 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240052 | LAKE REGION HEALTHCARE CORPORATION |
| Address | Phone | Organization |
|---|---|---|
| 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 | 2187396800 | LAKE REGION HEALTHCARE CORPORATION |
| 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2187368000 | LAKE REGION HEALTHCARE CORPORATION |
| Organization Legal Name | LAKE REGION HEALTHCARE CORPORATION |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie M Martin | Nurse Practitioner | Lake Region Healthcare Corporation | 209 2nd St Se, Barnesville, MN 56514 |
| Alena R Deutschlander | Nurse Practitioner | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Joel J Anderson | Nurse Practitioner | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Sheryl Olson | Nurse Practitioner | Lake Region Healthcare Corporation | 410 S Lake Ave, Battle Lake, MN 56515-4238 |
| Tyler L Scott | Certified Registered Nurse Anesthetist (crna) | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Steven B Thom | Ophthalmology | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Lonnie W Berger | Family Medicine | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Julianne D Gutzmer | General Surgery | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Heidi A Ottenbacher | Optometry | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Matthew James Mouser | Internal Medicine | Lake Region Healthcare Corporation | 712 S Cascade St, Fergus Falls, MN 56537-2913 |
| Street Address |
2311 W LINCOLN AVE |
| City | FERGUS FALLS |
| State | MN |
| Zip | 56537-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alena R Deutschlander | Nurse Practitioner | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Christine L Cabrera | Family Medicine | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Robert Vennerstrom | Family Medicine | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Carrie A Affield | Physician Assistant | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Kayla M Glanz | Physician Assistant | Lake Region Healthcare Corporation | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon D Mcdonald | Chiropractic | 1515 W Lincoln Ave, Fergus Falls, MN 56537-1065 | |
| David J Hilber | Optometry | Fergus Falls Vision Care Pa | 810 N Baird Ave, Fergus Falls, MN 56537-1617 |
| Randall J Kempfer | Optometry | Fergus Falls Vision Care Pa | 810 N Baird Ave, Fergus Falls, MN 56537-1617 |
| Denise M Hanson | Optometry | Fergus Falls Vision Care Pa | 810 N Baird Ave, Fergus Falls, MN 56537-1617 |
| Tara A Kempfer | Optometry | Fergus Falls Vision Care Pa | 810 N Baird Ave, Fergus Falls, MN 56537-1617 |
| Belinda J Kummrow | Chiropractic | 620 W 7th Ave, Fergus Falls, MN 56537-1908 | |
| Dean Simon Erlandson | Chiropractic | Tysdal Chiropractic LLC | 402 W Lincoln Ave, Fergus Falls, MN 56537-2008 |
| Zackary A Tysdal | Chiropractic | Tysdal Chiropractic LLC | 402 W Lincoln Ave, Fergus Falls, MN 56537-2008 |
| Ala L Lysyk Smith | Chiropractic | Smith Family Chiropractic Inc | 104 W Lincoln Ave, Fergus Falls, MN 56537-2123 |
| Kelly W Smith | Chiropractic | Smith Family Chiropractic Inc | 104 W Lincoln Ave, Fergus Falls, MN 56537-2123 |
| Find all physicians in zip 56537 | |||
| City | FERGUS FALLS |
| Zip Code | 56537 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FERGUS FALLS + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.