John W Keller (NPI# 1043248800, PAC ID# 6002867322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1043248800 |
PAC ID by PECOS | 6002867322 |
Professional Enrollment ID | I20050203000728 |
Full Name | John W Keller |
Organization Legal Name | EMERALD COAST COUNSELING CENTER PA |
Address |
215 Mountain Dr Suite 106 Destin FL 32541-2346 |
Phone Number | 8508379100 |
Gender | M |
Credential | CP |
Graduation Year | 1961 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 9032100839 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
215 Mountain Dr, Suite 106, Destin, FL 32541-2346 | 8508379100 | EMERALD COAST COUNSELING CENTER PA |
Organization Legal Name | EMERALD COAST COUNSELING CENTER PA |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Victoria E Miller | Clinical Social Worker | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
Street Address |
215 MOUNTAIN DR SUITE 106 |
City | DESTIN |
State | FL |
Zip | 32541-2346 |
Name | Specialty | Organization | Address |
---|---|---|---|
Victoria E Miller | Clinical Social Worker | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen C Henry Ii | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
Stephen C Henry | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
Kenneth Davis Whidden Jr. | Chiropractic | 501 Harbor Blvd C, Destin, FL 32541-2348 | |
Michael E Raim | Optometry | 501 Harbor Blvd, Suite D, Destin, FL 32541-2348 | |
James Moody | General Surgery | 415 Mountain Dr, Suite 6, Destin, FL 32541-2349 | |
Patricia Walsh | Clinical Social Worker | 385 Harbor Blvd, Suite 101b, Destin, FL 32541-2351 | |
Charles Bernard Barniv | Family Medicine | 462 Harbor Blvd, Suite 3, Destin, FL 32541-2436 | |
John Quinn | Physical Therapy | 623 Harbor Blvd, Suite 5, Destin, FL 32541-2436 | |
Leonard W Fabian Iii | Chiropractic | Seaside Spine LLC | 981 Hwy 98 E, Suite 9, Destin, FL 32541-2588 |
Samuel J Barbee | Chiropractic | Seaside Spine LLC | 981 Hwy 98 E, Suite 9, Destin, FL 32541-2588 |
Find all physicians in zip 32541 |
City | DESTIN |
Zip Code | 32541 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | DESTIN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on John W Keller.
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.