MARGO RENEE KELLER (NPI# 1689291122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689291122 |
| Entity Type | Individual |
| Full Name | MARGO RENEE KELLER |
| Credential | PA-C |
| Practice Address |
252 S 4th St Lebanon PA 17042-6111 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7172704876 |
| Mailing Telephone | 7178511405 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
252 S 4TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309609 | Stephen R. Longo | Anesthesiology | 252 S 4th St, Lebanon, PA 17042-6111 | 2005-10-07 |
| 1104423219 | Adaelsy M Sanchez | Nurse's Aide | 252 S 4th St, Lebanon, PA 17042-6123 | 2020-10-02 |
| 1306464847 | Catherine Waselkov | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-10 |
| 1932738150 | Kathleen Glenn | Pediatrics | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-08 |
| 1336777507 | Lindsey Donat | Speech-Language Pathologist | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-01 |
| 1801435714 | Kathryn Ann Ertel | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-12-26 |
| 1629622204 | Kelly Ann Wheeler | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-07-31 |
| 1083105696 | Ashlee Wheeler | Nurse Anesthetist, Certified Registered | 252 S 4th St, Lebanon, PA 17042-6111 | 2018-05-21 |
| 1073001319 | Devin Knisely | Registered Nurse | 252 S 4th St, Lebanon, PA 17042 | 2018-04-23 |
| 1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154536 | Hannah Stefanik | Physician Assistant | 1434 E 400 S, Lebanon, IN 46052-9761 | 2020-04-28 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1225511801 | Thomas Carroll | Physician Assistant | 1633 W Main St Ste 300, Lebanon, TN 37087-7800 | 2018-09-10 |
| 1962863241 | Jonathan David Barnett | Physician Assistant | 1420 W Baddour Pkwy Ste 110, Lebanon, TN 37087-1510 | 2016-03-14 |
| 1942684584 | Samantha Pellechio | Physician Assistant | 60 Haytown Rd, Lebanon, NJ 08833-4004 | 2015-07-14 |
| 1386035756 | Whitney Hanor | Physician Assistant | 720 Spring Meadow Ln, Lebanon, TN 37087-3397 | 2015-02-06 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1144510538 | Derek Varney | Physician Assistant | 735 Norman Dr # Dr3, Lebanon, PA 17042-7559 | 2011-04-19 |
| 1457656902 | Scott Darron Fowler | Physician Assistant | 155 Legends Drive, Suite I, Lebanon, TN 37087 | 2011-01-13 |
| 1043408503 | Peter A Rosenblum | Physician Assistant | 525 N. Santiam Hwy., Lebanon, OR 97355-3982 | 2007-10-10 |
| Find all providers in LEBANON | ||||
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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.