SHANE E KELLER (NPI# 1194768911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194768911 |
| Entity Type | Individual |
| Full Name | SHANE E KELLER |
| Credential | MD |
| Practice Address |
505 W Louis Henna Blvd Ste 100 Austin TX 78728-1702 |
| Mailing Address |
Po Box 4374 Houston TX 77210-4374 |
| Practice Telephone | 5122521505 |
| Practice Fax Number | 5122521506 |
| Mailing Telephone | 5122521505 |
| Mailing Fax Number | 5122521506 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L8393 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
505 W LOUIS HENNA BLVD STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78728-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940808 | Shawn Anthony Tassone | Obstetrics & Gynecology | 505 W Louis Henna Blvd, Suite 200, Austin, TX 78728-1701 | 2005-11-21 |
| 1225575244 | Shawn Tassone Md Phd Pllc | Obstetrics & Gynecology | 505 W Louis Henna Blvd, Suite 200, Austin, TX 78728-1701 | 2017-01-28 |
| 1932491719 | Ashley Nicole Deleon | Surgery | 505 W Louis Henna Blvd, Suite 220, Austin, TX 78728-1700 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783170 | Rachel Hilliard | Occupational Therapist | 13915 Mopac Service Rd. #200, Austin, TX 78728 | 2020-05-29 |
| 1104460294 | Austin Chase Smith | Physical Therapy Assistant | 13915 Mopac Service Rd, #200, Austin, TX 78728 | 2019-10-31 |
| 1982198370 | Rosaura Barruetaramos | Technician | 13915 Burnett Rd, Ste 303, Austin, TX 78728 | 2018-06-19 |
| 1366957854 | Rp Dental PC | Clinic/Center | 16009 Fm 1325, Suite 200, Austin, TX 78728 | 2017-12-06 |
| 1649783648 | Matthew Nelson | Occupational Therapy Assistant | 13915 North Mopac Expressway, Suite 200, Austin, TX 78728 | 2017-11-13 |
| 1811360373 | Guadalupe Zamora Md | Clinic/Center | 1779 Well Branch Pwky Number 110b-323, Austin, TX 78728 | 2015-11-05 |
| 1285005033 | Unique Spa and Health Center | Clinic/Center | 1779 Wells Branch Pwky, Number 110b-323, Austin, TX 78728 | 2015-10-19 |
| 1356663694 | Audra K. Reid | Physical Therapy Assistant | 13915 Mopac Expressway, Austin, TX 78728 | 2010-02-26 |
| 1699951889 | Sandra Ellen Stjohn | Registered Nurse | 14459 Robert I. Walker, Austin, TX 78728 | 2008-01-17 |
| 1033307749 | Joe Valdez | Contractor | 1779 Wells Branch Pkwy #110 B - Pmb 363, Austin, TX 78728 | 2007-10-09 |
| Find all providers in zip 78728 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.