STEPHEN KELLER (NPI# 1679864599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679864599 |
| Entity Type | Individual |
| Full Name | STEPHEN KELLER |
| Credential | M.D. |
| Practice Address |
1130 N Baldwin Ave Marion IN 46952-2536 |
| Mailing Address |
330 N Wabash Ste G20 Marion IN 46952-2600 |
| Practice Telephone | 7656607480 |
| Practice Fax Number | 7653824495 |
| Mailing Telephone | 7656607600 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 173346 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201290930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013222686 | Stephen James Keller | Registered Nurse | 4201 Maidstone Dr, Garland, TX 75043-7233 | 2010-08-08 |
| 1992768030 | Stephen M Keller | Radiology | 307 Cabin Grove Ln, Saint Louis, MO 63141-8171 | 2006-04-10 |
| 1770550345 | Stephen Robert Keller | Optometrist | 36921 Cook St, Suite 104, Palm Desert, CA 92211-6070 | 2006-03-02 |
| 1689916439 | Stephen Keller | Psychologist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2013-03-20 |
| 1770596777 | Stephen C Keller | Physician Assistant | 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2006-08-14 |
| 1396772968 | Stephen R Keller | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-27 |
| 1427003144 | Stephen Phillip Keller | Internal Medicine | 7305 N. Military Trail, Medicine (111), West Palm Beach, FL 33410 | 2006-05-23 |
| Street Address |
1130 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093820896 | Carole Wilson | Nurse Practitioner | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2006-08-20 |
| 1043622525 | Colt Allen Cansler | Physician Assistant | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2014-06-02 |
| 1831430404 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2013-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| 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 |
|---|---|---|---|---|
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1235422403 | Incare Health Solutions LLC | Emergency Medicine | 175 Edgefield Blvd, Marion, OH 43302-7821 | 2011-05-22 |
| 1376852673 | Appalachian Emergency Physicians | Emergency Medicine | 245 Medical Park Drive, Marion, VA 24354-6587 | 2010-10-04 |
| 1578880647 | Teresa Fullen | Emergency Medicine | 216 Hospital Ave, Marion, VA 24354-3157 | 2010-04-28 |
| 1013247568 | Marion Physician Billing LLC | Emergency Medicine | 1000 Mckinley Park Drive, Marion, OH 43302-6399 | 2010-01-06 |
| 1932345725 | John Hess | Emergency Medicine | 3269 Stone Ct, Marion, IA 52302-9433 | 2008-12-28 |
| 1811156458 | Thomas G Rousseau Md Pllc | Emergency Medicine | 110 Country Club Dr, Marion, KY 42064-1873 | 2008-06-09 |
| 1477693364 | Michael Jarosick | Emergency Medicine | 130 University Dr Ste 1300, Marion, OH 43302-1104 | 2007-02-08 |
| 1760410021 | Wroten Mcquirter | Emergency Medicine | 902 N Logan St, Apt. 3, Marion, IL 62959-3091 | 2006-06-28 |
| Find all providers in MARION | ||||
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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.