JENNIFER E KELLER (NPI# 1376744599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376744599 |
Entity Type | Individual |
Full Name | JENNIFER E KELLER |
Credential | MD |
Practice Address |
5725 F Street, Suite 3 Sacramento CA 95819 |
Mailing Address |
P.o. Box 255228 Sacramento CA 95865 |
Practice Telephone | 9167336050 |
Practice Fax Number | 9167336051 |
Mailing Telephone | 8004700071 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2012-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 2007-01217 | NC | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
A117557 | CA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | NC | Student, Health Care | |
N | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5907236 | 05 | |
SC | N01218 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528580339 | Jennifer Pillard Keller | Behavioral Analyst | 12310 Bailey Bridge Rd, Midlothian, VA 23112-3118 | 2017-07-13 |
1073929527 | Jennifer Keller | Home Health Aide | 38462 Oak Hill Ln Apt 202, Willoughby, OH 44094-7644 | 2014-07-04 |
1578821385 | Jennifer Keller | Residential Treatment Facility, Physical Disabilities | 1190 Arrowhead Ln, Peconic, NY 11958-1602 | 2012-04-30 |
1447489372 | Jennifer Marie Keller | Clinical Neuropsychologist | 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 | 2009-07-13 |
1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
1396362125 | Jennifer Lyn Keller | Registered Nurse | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2020-06-27 |
1730705708 | Jennifer Jo Keller | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2020-06-24 |
1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
1932601374 | Jennifer Ardell Keller | Nurse Practitioner | 2007 Montreal Rd, Tucker, GA 30084-5253 | 2018-03-01 |
1578098034 | Jennifer Keller | Counselor | 3191 Churn Creek Rd, Redding, CA 96002-2123 | 2017-04-21 |
Street Address |
5725 F STREET, SUITE 3 |
City | SACRAMENTO |
State | CA |
Zip Code | 95819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
1194840694 | Munir S. Janmohamed | Internal Medicine | 3939 J St Ste 230, Sacramento, CA 95819 | 2007-03-21 |
Find all providers in zip 95819 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
1215929799 | Clifford Marr | Surgery | 5275 F St, Ste 3, Sacramento, CA 95819-3225 | 2005-08-19 |
1265424865 | Joy L Graf | Surgery | 5275 F Street, Suite 3, Sacramento, CA 95819 | 2005-08-19 |
1780911032 | Naruhito Watanabe | Surgery | 5301 F Street, Suite 213, Sacramento, CA 95819 | 2009-11-06 |
1013101500 | Rebecca Anne Stark | Surgery | 2521 Stockton Blvd, Ucdmc Glassrock Peds. Surgery - Suite 3200, Sacramento, CA 95817-2207 | 2007-08-28 |
1457478646 | Shinjiro Hirose | Surgery | 3301 C Street, Uc Davis, Cannery Business Park, Sacramento, CA 95816 | 2007-03-23 |
1326139866 | Lisa P Abramson | Surgery | 5275 F Street, Suite 3, Sacramento, CA 95819 | 2006-09-28 |
1265411979 | Jacob T Stephenson | Surgery | 2221 Stockton Blvd, Dept of Surgery, Cypress Bldg Room 3104, Sacramento, CA 95817 | 2006-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
1699981688 | Bruce Arthur Hanson | Surgery | 915 Wigeon Way, Arroyo Grande, CA 93420-5555 | 2007-05-15 |
1215050653 | Doruk Ozgediz | Surgery | 550 16th St # 570, San Francisco, CA 94158-2545 | 2007-04-09 |
Find all providers with the same taxonomy |
City | SACRAMENTO |
Zip Code | 95819 |
Please comment or provide details below to improve the information on JENNIFER E KELLER.
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.