DR. JAMES M KELLER III (NPI# 1457702235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457702235 |
| Entity Type | Individual |
| Full Name | DR. JAMES M KELLER III |
| Credential | D.O, |
| Practice Address |
5900 Byron Center Ave Sw Wyoming MI 49519-9606 |
| Practice Telephone | 6162527200 |
| Mailing Telephone | 6162527200 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101022222 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285972356 | James E. Keller II | Social Worker | 989 W Kennedy Blvd, Suite 202, Orlando, FL 32810-6199 | 2013-01-24 |
| 1508034323 | James Lloyd Keller | Optometrist | 4517 W. Sahara Ave, Las Vegas, Nv 89102, Las Vegas, NV 89102 | 2008-02-14 |
| 1386702751 | James F Keller | Dentist | 2508 E Fox Farm Rd # 1-1a, Cheyenne, WY 82007-2559 | 2006-12-05 |
| 1306919063 | James David Keller | Preventive Medicine | 2200 Conner Rd, Hebron, KY 41048-8142 | 2006-11-17 |
| 1962511568 | James Clayton Keller Jr. | Dentist | 8254 One Calais Ave, Ste 100, Baton Rouge, LA 70809-3450 | 2006-08-29 |
| 1649248972 | James Lee Keller | Physical Therapist | 359 Gabilan Plaza, Soledad, CA 93960 | 2006-03-11 |
| 1184620700 | James R. Keller | Dentist | 1537 E 66th St, Richfield, MN 55423-2663 | 2005-06-28 |
| 1699314708 | James L Keller | Specialist/Technologist | 251 Violet St Ste 150, Golden, CO 80401-6724 | 2020-01-06 |
| 1043652639 | James Patrick Keller | Social Worker | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2013-07-23 |
| 1093150112 | James Mark Keller | Counselor | 1543 Lake Baldwin Ln, Suite B, Orlando, FL 32814-6695 | 2013-05-02 |
| Street Address |
5900 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1912504283 | Jacalyn Kaiser | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-10-08 |
| 1659987196 | David Paul Mandziara | Specialist/Technologist, Other | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-09-21 |
| 1265048847 | Bella Baazov | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-09-19 |
| 1548889504 | Maurice Anthony Marshall | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-10 |
| 1619596814 | Tyler Ledy | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-04-09 |
| 1427677475 | James Darin Chessrown | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-09 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1427687755 | Molly Magen | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1316576804 | Lindsay Grace Schichtel | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992254270 | Medexpress Urgent Care, PC - Michigan | Emergency Medicine | 740 28th St Sw, Wyoming, MI 49509-2965 | 2016-09-27 |
| 1235391467 | John Richard Epema | Emergency Medicine | 3662 Taft Ave Sw, Wyoming, MI 49519-3759 | 2008-06-29 |
| 1356315345 | Paul R Dwyer | Emergency Medicine | 5900 Byron Center Ave, Metro Health Hospital, Wyoming, MI 49519 | 2006-02-15 |
| 1962997601 | Garrett Richard Baker | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1699260331 | Brice Houston Brookshire | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1245725977 | Jerry Paul Henderson | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1336634070 | Amber Majid Malik | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1093235848 | Joshua Vansluyters | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1710407572 | Anthony Joseph Camodeca | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1811348691 | Brandon Kay | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
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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.