THOMAS A KELLER (NPI# 1992720569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992720569 |
| Entity Type | Individual |
| Full Name | THOMAS A KELLER |
| Credential | MD |
| Practice Address |
2300 Western Avenue Manitowoc WI 54221-1450 |
| Mailing Address |
Po Box 1450 Manitowoc WI 54221-1450 |
| Practice Telephone | 9206842255 |
| Mailing Telephone | 9206845560 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
020412 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30861100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265718316 | Thomas Vernon Keller | Chiropractor | 2101 South 10th Street, Los Banos, CA 93635-5006 | 2011-11-02 |
| 1912914375 | Thomas Allen Keller | Psychologist | 7863 La Mesa Blvd, Suite 102, La Mesa, CA 91941-3657 | 2006-08-01 |
| 1598268237 | Thomas Keller | Counselor | 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | 2018-03-08 |
| 1154844322 | Thomas Franklin Keller | Dentist | 8340 Colerain Ave, Cincinnati, OH 45239-3916 | 2017-07-19 |
| 1356761944 | Thomas Keller | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Lane 154, Stanford, CA 94305-5133 | 2014-04-22 |
| 1376817510 | Thomas S Keller | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2012-03-06 |
| 1225297997 | Thomas C Keller | Orthopaedic Surgery | 30 Aulike St, Suite 201, Kailua, HI 96734-2739 | 2008-06-06 |
| 1194832279 | Thomas Clark Keller Sr. | Dentist | 21 West Rd, 104, Towson, MD 21204-2325 | 2006-08-24 |
| 1972523918 | Thomas A Keller Jr. | Internal Medicine | 601 John St, Suite 100, Kalamazoo, MI 49007-5341 | 2006-07-20 |
| 1356318232 | Thomas Mcneese Keller | Neurological Surgery | 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 | 2006-03-01 |
| Street Address |
2300 WESTERN AVENUE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54221-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982639142 | Todd J Schroeder | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-12 |
| 1851489967 | Andrew Edward Trochlell | Anesthesiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-10-11 |
| 1790710952 | Stephen L Dudek | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114034493 | John R Schmidt | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-24 |
| 1023027711 | Karen A Berge | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-05 |
| 1760648885 | Orthopaedic Associates of Manitowoc Ltd | Specialist | 920 State Street, Manitowoc, WI 54221-0907 | 2008-07-29 |
| 1093886434 | Sean T Benham Mdsc | Surgery | 1765 North 18 Street, Manitowoc, WI 54221-0997 | 2006-11-09 |
| 1972598704 | Sean Thomas Benham | Surgery | 1765 N 18th St, Manitowoc, WI 54221-0997 | 2005-09-19 |
| 1376780114 | Jennifer Ann Haase | Social Worker | 926 S. 8th Street, Manitowoc, WI 54221-1177 | 2009-01-15 |
| 1265606123 | Lisa Rae Korslin | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2008-04-22 |
| 1194874511 | Thomas John Zakrzewski | Social Worker | Manitowoc County Human Services Department, 926 S 8th Street, Manitowoc, WI 54221-1177 | 2007-01-09 |
| 1811474604 | Lindsay Connon | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2018-07-24 |
| 1952836702 | Amanda M Miller | Counselor | 926 S 8th Street, Manitowoc, WI 54221-1177 | 2017-04-28 |
| Find all providers in zip 54221 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982639142 | Todd J Schroeder | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-12 |
| 1396975165 | Matthew Koeberl | Radiology | 2300 Western Ave, Lakeshore Radiology, Manitowoc, WI 54220 | 2009-07-15 |
| 1346265915 | Lakeshore Radiology Associates Sc | Radiology | 2300 Western Ave, Manitowoc, WI 54221-1450 | 2006-07-13 |
| 1790710952 | Stephen L Dudek | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.