MICHAEL P KELLER MD PC (NPI# 1932302650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932302650 |
| Entity Type | Organization |
| Organization Name | MICHAEL P KELLER MD PC |
| Practice Address |
3900 E Lohman Ave Ste B Las Cruces NM 88011-8274 |
| Practice Telephone | 5055225955 |
| Practice Fax Number | 5055226228 |
| Mailing Telephone | 5055225955 |
| Mailing Fax Number | 5055226228 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | TONY KINKADE (BUSINESS MANAGER) |
| Authorized Official Telephone | 5055225955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2001-231 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
3900 E LOHMAN AVE STE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265448757 | Rosella M Vialpando | Registered Nurse | 3900 E Lohman Ave Ste B, Las Cruces, NM 88011 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158003 | Charles Anthony Dow | Surgery | 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-07-18 |
| 1093947491 | Las Cruces Physician Practices, LLC | Surgery | 4351 E Lohman Ave, Suite 403, Las Cruces, NM 88011-8259 | 2009-08-18 |
| 1881719748 | New Mexico Cardiovascular Associates, PC | Surgery | 4351 E Lohman Ave, Ste 403, Las Cruces, NM 88011-8259 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003180969 | Kristen L. Biggs, Md, Skin Care & Vein Centre, PC | Surgery | 409 Saint Michaels Dr, Santa Fe, NM 87505-7603 | 2012-02-23 |
| 1861665051 | Kristen Lynn Biggs | Surgery | 450 Saint Michaels Dr, Santa Fe, NM 87505-7602 | 2008-04-08 |
| 1407031040 | Gopal Reddy M.d., P.C. | Surgery | 500 Walter St Ne Ste 204, Albuquerque, NM 87102-2543 | 2008-01-02 |
| 1487787545 | Alfred Joseph Martin Jr. | Surgery | 4013 Old Santa Fe Trl, Santa Fe, NM 87505-4503 | 2007-03-14 |
| 1396799110 | Milagro Vein Solutions LLC | Surgery | 490b W Zia Road, Suite A, Santa Fe, NM 87505 | 2006-05-19 |
| 1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
| 1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
| 1093022402 | Robert Moskowitz | Surgery | 201 Cedar St Se Ste 800, Albuquerque, NM 87106 | 2010-09-07 |
| 1588863120 | Muhammad Ali A Rana | Surgery | 2211 Lomas Blvd Ne, Department of Surgery, Albuquerque, NM 87106-2719 | 2007-07-13 |
| 1871790188 | Sundeep Guliani | Surgery | 2211 Lomas Blvd Ne, Tuv Clinic, 1st Floor, Albuquerque, NM 87106-2719 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.