Jennifer Rowe Keller (NPI# 1366488397, PAC ID# 1052375243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366488397 |
PAC ID by PECOS | 1052375243 |
Professional Enrollment ID | I20041117000579 |
Full Name | Jennifer Rowe Keller |
Organization Legal Name | FAIRFIELD COMMUNITY HEALTH CENTER |
Address |
1055 W Market St H Baltimore OH 43105-1284 |
Phone Number | 7408624183 |
Gender | F |
Credential | NP |
Graduation Year | 1999 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9133316805 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360072 | FAIRFIELD MEDICAL CENTER |
361330 | HOCKING VALLEY COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1055 W Market St H, Baltimore, OH 43105-1284 | 7408624183 | FAIRFIELD COMMUNITY HEALTH CENTER |
1155 E Main St, Lancaster, OH 43130-4056 | 7406896758 | FAIRFIELD COMMUNITY HEALTH CENTER |
Organization Legal Name | FAIRFIELD COMMUNITY HEALTH CENTER |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Maynard Ayers | Family Medicine | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Mikael Paul Schilb | Family Medicine | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
John Silva | Family Medicine | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Courtney R Young | Family Medicine | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Sheri K Dodds | Nurse Practitioner | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Bradley A Hedges | Psychologist, Clinical | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Karim I Barrie | Nurse Practitioner | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Emily Blanks | Psychologist, Clinical | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Tyler Zwahlen | Physician Assistant | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Molly E Thomas | Clinical Social Worker | Fairfield Community Health Center | 1155 E Main St, Lancaster, OH 43130-4056 |
Street Address |
1055 W MARKET ST H |
City | BALTIMORE |
State | OH |
Zip | 43105-1284 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert J Dominguez | Emergency Medicine | Fairfield Community Health Center | 1055 W Market St H, Baltimore, OH 43105-1284 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tarun Mehra | Internal Medicine | 1055 W Market St, Suite H, Baltimore, OH 43105-1284 | |
Steven M Thomas | Chiropractic | 117 E Mulberry St, Baltimore, OH 43105-1333 | |
Richard P Dychala | Optometry | 107 S Main St, Baltimore, OH 43105-1425 |
City | BALTIMORE |
Zip Code | 43105 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BALTIMORE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.