DR. CHRISTOPHER RYAN KELLER (NPI# 1255467312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255467312 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER RYAN KELLER |
| Credential | MD |
| Practice Address |
4620 Enterprise Way Ste 101 Caldwell ID 83605 |
| Mailing Address |
3525 E Louise Dr Ste 195 Meridian ID 83642-6303 |
| Practice Telephone | 2088468335 |
| Practice Fax Number | 2088468336 |
| Mailing Telephone | 2088468335 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M10236 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3525 E Louise Dr Ste 195, Meridian, ID 836426303 | 2088468335 | |
| 1109 W Myrtle St Ste 100, Boise, ID 837026971 | 2088468335 | 2088468336 |
| 4424 E Flamingo Ave, Nampa, ID 836879289 | 2088468335 | 2088468336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598165342 | Christopher Keller | Pharmacist | 3737 N Roxboro St, Durham, NC 27704 | 2014-08-29 |
| 1033435698 | Christopher J Keller | Counselor | 200 1st Ave W Ste 405, Seattle, WA 98119-4219 | 2010-04-07 |
| 1659319440 | Christopher Blaine Keller | Physical Therapist | 71 Longview Dr, Queensbury, NY 12804-5936 | 2006-06-03 |
| 1326660309 | Christopher S Keller | Student in an Organized Health Care Education/Training Program | 22999 Highway 59 N, Kingwood, TX 77339-4412 | 2020-05-12 |
| 1114566775 | Christopher John Keller | Pharmacist | 4500 Sergeant Rd, Sioux City, IA 51106-4705 | 2019-12-31 |
| 1275194524 | Christopher Lee Keller | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-06-27 |
| 1396219432 | Christopher Keller | Massage Therapist | 301 W State St, Ithaca, NY 14850-5431 | 2019-01-11 |
| 1639547276 | Christopher Keller | Occupational Therapist | 212 Marter Ave, Moorestown, NJ 08057-3114 | 2015-09-14 |
| 1639421209 | Christopher Joseph Keller | Psychologist | 5820 Main St, Suite 204, Williamsville, NY 14221-5776 | 2012-10-08 |
| 1598820268 | Christopher Brent Keller | Internal Medicine | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2006-12-23 |
| Street Address |
4620 ENTERPRISE WAY STE 101 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235377 | Michael Craig Mallea | Specialist | 4620 Enterprise Way Ste 101, Caldwell, ID 83605 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538105770 | Joel Notkin | Internal Medicine | 526 Bloomfield Ave, Caldwell, NJ 07006-5564 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887050 | St Michael Nephrology, Pllc | Internal Medicine | 1674 S Loggers Pond Pl Apt 14, Boise, ID 83706-7517 | 2019-05-26 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1033483052 | Magic Valley Kidney Institute LLP | Internal Medicine | 350 N Haven St Ste 200, Twin Falls, ID 83301-5788 | 2012-03-08 |
| 1063719292 | St Clair Specialty Physicians | Internal Medicine | 5610 Gage Street, Suite A, Boise, ID 83706 | 2011-02-24 |
| 1558680587 | Brian Doxey Snow | Internal Medicine | 4424 E Flamingo Ave Ste 340, Nampa, ID 83687-9306 | 2010-06-01 |
| 1497931893 | Mark David Poirier | Internal Medicine | 5610 W Gage St Ste A, Boise, ID 83706 | 2008-01-15 |
| 1609952381 | Ajith J Kumar | Internal Medicine | 2124 12th Ave, Lewiston, ID 83501-3502 | 2006-10-27 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1235151077 | Vashu Deoomal Thakur | Internal Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-07-24 |
| 1780621771 | Nicholas C Hunt I | Internal Medicine | 5610 W Gage St, Suite A, Boise, ID 83706-1349 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
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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.