KIM D KELLER MD PA (NPI# 1093813453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093813453 |
| Entity Type | Organization |
| Organization Name | KIM D KELLER MD PA |
| Practice Address |
11302 Fallbrook Dr 202b Houston TX 77065-4235 |
| Practice Telephone | 2819558884 |
| Practice Fax Number | 2818979536 |
| Mailing Telephone | 2819558884 |
| Mailing Fax Number | 2818979536 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM D KELLER (PRES) |
| Authorized Official Telephone | 2819558884 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
11302 FALLBROOK DR 202B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365203 | Elizabeth C Podoba | Specialist | 11302 Fallbrook Dr, Suite 101, Houston, TX 77065-4235 | 2005-09-08 |
| 1447659479 | Alicia Mccain | Nurse Practitioner | 11302 Fallbrook Dr, Suite 101, Houston, TX 77065-4235 | 2014-08-14 |
| 1851695795 | Greater Dallas Healthcare Enterprises | Family Medicine | 11302 Fallbrook Dr, Ste. 201, Houston, TX 77065-4235 | 2011-01-07 |
| 1730413444 | Marguerite Collette Ogden | Audiologist | 11302 Fallbrook Dr, Ste. 206, Houston, TX 77065-4235 | 2009-09-28 |
| 1174857437 | Bimal Talati, Md Pa | Internal Medicine | 11302 Fallbrook Dr, #205, Houston, TX 77065-4235 | 2009-09-18 |
| 1427381854 | Stephanie D. Smith-sham, M.d., Pllc | Specialist | 11302 Fallbrook Dr, #302, Houston, TX 77065-4235 | 2009-09-17 |
| 1821266933 | Women's Health Center, P.a. | Obstetrics & Gynecology | 11302 Fallbrook Dr, Suite 202b, Houston, TX 77065-4235 | 2008-02-12 |
| 1003027038 | Ninh Ham Nguyen | Otolaryngology | 11302 Fallbrook Dr, Ste 206, Houston, TX 77065-4235 | 2007-05-24 |
| 1497972913 | John Ibrahim Dogan | Obstetrics & Gynecology | 11302 Fallbrook Dr, Suite 202b, Houston, TX 77065-4235 | 2007-04-19 |
| 1508997461 | Eric Blacher | Urology | 11302 Fallbrook Dr, Suite 107, Houston, TX 77065-4235 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1033775689 | Richard Harold Lynch | Surgery | 842 Country Ln, Houston, TX 77024-3106 | 2019-05-18 |
| 1629632260 | Vein Clinics of Texas | Surgery | 2024 Richmond Ave Ste 300, Houston, TX 77098-3424 | 2019-04-29 |
| 1063982080 | International Center for Neuroscience | Surgery | 4141 Southwest Fwy Ste 200, Houston, TX 77027-7387 | 2018-12-03 |
| 1245709344 | Mgh Surgical Care Pllc | Surgery | 10130 Louetta Rd Ste A-2, Houston, TX 77070-2118 | 2018-11-19 |
| 1275039521 | Courtney Olsen | Surgery | 1603 Tabor St, Houston, TX 77009-2516 | 2018-04-04 |
| 1972002525 | L Camp LLC | Surgery | 1725 Main St Ste 2, Houston, TX 77002-8142 | 2018-02-09 |
| 1184122939 | Nh Provider Network Pllc | Surgery | 11700 Katy Fwy Ste 300, Houston, TX 77079-1218 | 2018-01-26 |
| 1871008961 | Principle Spine and Joint Institute | Surgery | 16840 Buccaneer Ln Ste J, Houston, TX 77058-2507 | 2017-12-11 |
| Find all providers in HOUSTON | ||||
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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.