GREG S KELLER (NPI# 1639284813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639284813 |
| Entity Type | Individual |
| Full Name | GREG S KELLER |
| Credential | M.D. |
| Practice Address |
500 W Thomas Rd Suite 850 Phoenix AZ 85013-4224 |
| Mailing Address |
File 56765 Los Angeles CA 90074-6765 |
| Practice Telephone | 6024062663 |
| Practice Fax Number | 6024066368 |
| Mailing Telephone | 6024063860 |
| Mailing Fax Number | 6024066132 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 31711 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 496291 | 05 |
| Street Address |
500 W THOMAS RD SUITE 850 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609244 | James Craig Russell | Specialist | 500 W Thomas Rd, Ste 400, Phoenix, AZ 85013-4222 | 2005-06-14 |
| 1225557770 | Lauren E Cherrier | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2017-09-15 |
| 1063936219 | Sara Brenza | Nurse Practitioner | 500 W Thomas Rd, Ste 300, Phoenix, AZ 85013-4220 | 2017-07-31 |
| 1124570569 | Anna De La Huerta | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2016-11-02 |
| 1750734406 | Janet Ward | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-18 |
| 1689027583 | Stacy Nelson | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-15 |
| 1669823530 | Karen R Broderick-strupp | Nurse Practitioner | 500 W Thomas Rd, Ste. 500, Phoenix, AZ 85013-4224 | 2016-06-22 |
| 1992174718 | Michelle Marie Walker | Advanced Practice Midwife | 500 W Thomas Rd, Ste 720 & Ste 730, Phoenix, AZ 85013 | 2015-09-22 |
| 1962870287 | Pwi Development LLC | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 480, Phoenix, AZ 85013-4224 | 2015-09-03 |
| 1144602012 | Rashna Shetty | Internal Medicine | 500 W Thomas Rd, Phoenix, AZ 85013 | 2015-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1467829184 | Az Sports Clinic, LLC | Orthopaedic Surgery | 7797 W. Paradise Lane Suite 130, Phoenix, AZ 85382-3588 | 2015-08-28 |
| 1275911620 | Scott Howard Conant | Orthopaedic Surgery | 475 N 5th St, Phoenix, AZ 85004-2157 | 2015-05-18 |
| 1831500172 | Paramjit Singh | Orthopaedic Surgery | 9305 W Thomas Rd Ste 305, Phoenix, AZ 85037-3366 | 2014-05-08 |
| 1831537414 | Seth Andrew Christensen | Orthopaedic Surgery | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 | 2013-06-05 |
| 1679819304 | Integrated Medical Services Inc | Orthopaedic Surgery | 4550 E Bell Rd Ste 280, Phoenix, AZ 85032-9384 | 2012-12-28 |
| 1235494741 | Benjamin Albert | Orthopaedic Surgery | 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 | 2012-07-10 |
| 1629349469 | Alfred Franklin D'anca | Orthopaedic Surgery | 4019 Trails End Ct, Phoenix, MD 21131-1860 | 2012-01-25 |
| 1922399088 | Patricia Ann Drace | Orthopaedic Surgery | 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016 | 2011-04-25 |
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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.