DR. DAVID A KELLER (NPI# 1467417733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467417733 |
| Entity Type | Individual |
| Full Name | DR. DAVID A KELLER |
| Credential | M.D. |
| Practice Address |
1400 S Forge Rd Palmyra PA 17078-9519 |
| Practice Telephone | 7178381301 |
| Mailing Telephone | 7178381301 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD053573L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001559903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192406 | David V Keller | Physician Assistant | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2006-11-20 |
| 1154409282 | David Mark Keller | Family Medicine | 203 East Main St, Richmond, IN 47374 | 2006-11-02 |
| 1356393656 | David Louis Keller | Internal Medicine | 1948 Rolling Vista Dr, Lomita, CA 90717-3769 | 2006-05-16 |
| 1386647949 | David Arlington Keller Sr. | Dentist | 215 Nw 78th St, Vancouver, WA 98665-7972 | 2005-05-27 |
| 1760021919 | David Keller | Occupational Therapy Assistant | 19525 W North Ave, Brookfield, WI 53045-4107 | 2020-01-04 |
| 1093377913 | David Michael Keller | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503-2560 | 2019-07-01 |
| 1578026969 | David M Keller II | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-11 |
| 1346679487 | David Keller | Social Worker | 1108 S Van Dyke Rd, Bad Axe, MI 48413-9615 | 2013-11-08 |
| 1427285519 | David Allen Keller | Dentist | 57 Davison Ct, Lockport, NY 14094-5376 | 2009-06-16 |
| 1174769913 | David Kasey Keller | Pharmacist | 78 Perry Winkle Ln, Huntington, WV 25702-9506 | 2008-12-29 |
| Street Address |
1400 S FORGE RD |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003849 | Lorri Kercher | Nurse Practitioner | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-18 |
| 1861984072 | Stephanie Ebersole | Physician Assistant | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2018-06-04 |
| 1902195654 | Amy Schreiber | Family Medicine | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9513 | 2011-04-04 |
| 1639369804 | Lebanon Valley Family Medicine Inc | Non-Pharmacy Dispensing Site | 1400 S Forge Rd, Suite 1, Palmyra, PA 17078-9519 | 2007-07-25 |
| 1740245042 | Ronica Montagna | Nurse Practitioner | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1619932936 | Mark W Leach | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1508821836 | Jenny S Lee | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1184689648 | J Kent L Wagner | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1982669289 | Samuel F Rashid | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| 1588629042 | John Patrick Welch | Family Medicine | 1400 S Forge Rd, Palmyra, PA 17078-9519 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1548369028 | Ck-kc Ltc, Inc | Pharmacy | 1200 Grubb Street, Palmyra, PA 17078 | 2006-09-21 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| Find all providers in zip 17078 | ||||
| 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 |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1558767509 | Rugh Henderson I | Family Medicine | 945 Stauffers Church Rd, Palmyra, PA 17078-9607 | 2014-11-18 |
| 1548676364 | Ingrid Bakalorz Blubaugh | Family Medicine | 1400 S Forge Rd Ste 1, Palmyra, PA 17078-9519 | 2014-07-02 |
| 1700146099 | John Rexis Aguilar | Family Medicine | 58 Dogleg Rd, Palmyra, VA 22963-2312 | 2012-05-21 |
| 1750309142 | Samang O Kim | Family Medicine | 6996 County Road 326, Palmyra, MO 63461-3119 | 2006-07-17 |
| 1194758227 | Adrian J Hohenwarter | Family Medicine | 745 South Grant Street, Palmyra, PA 17078-3215 | 2006-07-09 |
| 1356389498 | Floyd Memorial Hospital and Health Services | Family Medicine | 691 Main Street Ne, Palmyra Family Medicine, Palmyra, IN 47164-8894 | 2006-06-02 |
| 1225003841 | The Milton S Hershey Medical Center Physicians Group | Family Medicine | 941 Park Dr, Palmyra, PA 17078-3445 | 2006-02-17 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| Find all providers in PALMYRA | ||||
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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.