TYLER JAMES KELLER (NPI# 1669738506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669738506 |
| Entity Type | Individual |
| Full Name | TYLER JAMES KELLER |
| Credential | M.D. |
| Practice Address |
4331 Churchman Ave Ste 101 Louisville KY 40215 |
| Mailing Address |
4331 Churchman Ave Ste 101 Louisville KY 40215-1164 |
| Practice Telephone | 5023640902 |
| Practice Fax Number | 5023640099 |
| Mailing Telephone | 5023640902 |
| Mailing Fax Number | 5023640099 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
51057 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100546170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325226 | Tyler Keller | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2014-04-03 |
| 1699109355 | Tyler Keller | Counselor | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2013-08-29 |
| Street Address |
4331 CHURCHMAN AVE STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695177 | Ernest A Eggers | Orthopaedic Surgery | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2005-11-04 |
| 1417599820 | Christopher Michael Swift | Nurse Practitioner | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2019-10-17 |
| 1932757440 | Sarah J Zurkuhlen | Nurse Practitioner | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2019-08-28 |
| 1013294842 | Devan Allen Ward | Physician Assistant | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2011-11-08 |
| 1962713362 | David Mcconda | Orthopaedic Surgery | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407965015 | Louisville Orthopaedic Clinic & Sports Rehabilitation Center Psc | Orthopaedic Surgery | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2006-08-29 |
| 1912391053 | Jonathan David Gillig | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285705657 | Parr Orthopaedics Psc | Orthopaedic Surgery | 125 E Maxwell Street, Suite 202, Lexington, KY 40508 | 2006-11-10 |
| 1790915239 | David Michael Waespe | Orthopaedic Surgery | 404 Shoppers Dr, Winchester, KY 40391 | 2009-07-17 |
| 1770726481 | Jonathon Michael Spanyer | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2009-04-10 |
| 1578726873 | Stephen Thomas Duncan | Orthopaedic Surgery | 740 S Limestone, Suite K408, Lexington, KY 40536-0001 | 2008-07-07 |
| 1790974061 | Jeffrey Wright Parr | Orthopaedic Surgery | 125 E Maxwell St, Suite 202, Lexington, KY 40508-2678 | 2007-10-23 |
| 1669572145 | Scott Beerher Scutchfield | Orthopaedic Surgery | 740 S Limestone, Lexington, KY 40536-0001 | 2006-09-24 |
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.