DR. RICHARD KELLERMAYER (NPI# 1174781546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174781546 |
| Entity Type | Individual |
| Full Name | DR. RICHARD KELLERMAYER |
| Credential | MD |
| Practice Address |
6701 Fannin St Houston TX 77030-2316 |
| Mailing Address |
2 Greenway Plz Suite 900 Houston TX 77046-0297 |
| Practice Telephone | 8328247243 |
| Mailing Telephone | 7137981750 |
| Mailing Fax Number | 7137981144 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2009-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
N0154 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
TEMP | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6701 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729897 | Ellen M. Friedman | Otolaryngology | 6701 Fannin St, Ste 540, Houston, TX 77030-2316 | 2005-06-09 |
| 1659996882 | Nohemi Garcia | Counselor | 6701 Fannin St, Houston, TX 77030-2608 | 2020-06-12 |
| 1801416326 | Rachelle Gerke | Nurse Anesthetist, Certified Registered | 6701 Fannin St, Houston, TX 77030-2608 | 2020-04-24 |
| 1962039560 | Carolina Coronel Bertero | Social Worker | 6701 Fannin St, Houston, TX 77030-2608 | 2020-03-24 |
| 1710511209 | Fumiya Yoneyama | Surgery | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-24 |
| 1952934853 | Erin Alycia Basile | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-19 |
| 1194358358 | Ashley Lynn Brenner | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-17 |
| 1316587108 | Megan Mckinney Williams | Nurse Anesthetist, Certified Registered | 6701 Fannin St, Houston, TX 77030-2608 | 2020-01-09 |
| 1205475985 | Taylor Ann Matson | Physician Assistant | 6701 Fannin St, Houston, TX 77030-2608 | 2019-12-30 |
| 1972140259 | Haley Aydam Lattal | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2019-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537550 | Wenly Ruan | Pediatrics | 6701 Fannin St # D1010.00, Houston, TX 77030-2608 | 2014-04-01 |
| 1336566611 | Savini Lanka Britto | Pediatrics | 6621 Fannin Steet, Mark Wallace Tower 1010.00, Houston, TX 77030 | 2014-03-25 |
| 1497117188 | Allyson Hodgkins | Pediatrics | 1 Baylor Plz, Houston, TX 77030-3411 | 2016-03-22 |
| 1578821401 | Geoffrey A. Preidis | Pediatrics | 6701 Fannin St, Houston, TX 77030 | 2012-04-28 |
| 1720399751 | Seema Mehta Walsh | Pediatrics | 6701 Fannin St, Ccc 1010.00, Houston, TX 77030-2608 | 2010-06-24 |
| 1619295029 | Priya Raj | Pediatrics | 6621 Fannin St, Tch - Clinical Care Center, Mc: Cc1010, Houston, TX 77030-2358 | 2010-05-10 |
| 1063596914 | Eric Chiou | Pediatrics | 6701 Fannin St, Ccc 1010.00, Houston, TX 77030-2608 | 2006-10-25 |
| 1891875159 | Craig Jensen | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1215017587 | William Klish | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1922188325 | Carlos Lifschitz | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
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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.