Shane E Keller (NPI# 1194768911, PAC ID# 6103885413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194768911 |
| PAC ID by PECOS | 6103885413 |
| Professional Enrollment ID | I20041004000438 |
| Full Name | Shane E Keller |
| Organization Legal Name | SHANE EDWARD KELLER MD PA |
| Address |
505 W Louis Henna Blvd Suite 100 Parkway Primary Care Austin TX 78728-1702 |
| Phone Number | 5122521505 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961426549 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 | 5122521505 | SHANE EDWARD KELLER MD PA |
| Organization Legal Name | SHANE EDWARD KELLER MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina J Philip | Family Medicine | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Ann-marie Bourque-koch | Nurse Practitioner | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Street Address |
505 W LOUIS HENNA BLVD SUITE 100 PARKWAY PRIMARY CARE |
| City | AUSTIN |
| State | TX |
| Zip | 78728-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina J Philip | Family Medicine | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Shawn A Tassone | Obstetrics/gynecology | 505 W Louis Henna Blvd, Suite 200, Austin, TX 78728-1703 | |
| Ann-marie Bourque-koch | Nurse Practitioner | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiru V Lakshman | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 13915 N Mopac Expwy, 100 Central Texas Colon and Rectal Surgeons, Austin, TX 78728 |
| Andrew Hubbard Miller | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 13915 N Mopac Expwy, 100 Central Texas Colon and Rectal Surgeons, Austin, TX 78728 |
| Shelly Chicoine Hogan | Chiropractic | Chicoine Chiropractic LLC | 3407 Wells Branch Pkwy, Suite 625, Austin, TX 78728-6619 |
| Nicole C Edwards | Chiropractic | Chicoine Chiropractic LLC | 3407 Wells Branch Pkwy, Suite 625, Austin, TX 78728-6619 |
| Mark C Lesko | Chiropractic | 2013 Wells Branch Pkwy, Suite 103, Austin, TX 78728-6903 | |
| Lorraine K. Schroeder | Family Medicine | 2013 Wells Branch Pkwy, Suite 113, Austin, TX 78728-6904 | |
| Paul E Bristol | Family Medicine | 2013 Wells Branch Pkwy, Suite 113, Austin, TX 78728-6904 | |
| Pamela Krejci | Clinical Social Worker | 13805 Ann Pl, Austin, TX 78728-7702 |
| City | AUSTIN |
| Zip Code | 78728 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUSTIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane E 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.