Organization Active NPI

James L Keller MD PC

  • Specialist
  • Battle Creek, MI
National Provider Identifier
1073608758
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
066800 Issued in MI
Legal business name
JAMES L KELLER MD PC
Practice address
2845 Capital Ave SW
Suite 202
Battle Creek, MI 49015-4185
Phone
(269) 979-6305
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea L Swiatek
Title
Medical Biller
Phone
(231) 780-6077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 066800 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW
Suite 202
Battle Creek, MI 49015-4185

Mailing address

PO Box 625
Muskegon, MI 49443
Phone (231) 780-6077

Other identifiers 1

IdentifierTypeStateIssuer
3207676MedicaidMI

National Provider Directory

National Provider Directory

Locations

2845 Capital Ave SW
Ste 22
Battle Creek, MI 49015
Phone (239) 979-6305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1073608758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49443",
            "telephone_number": "231-780-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 202",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-979-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L KELLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SWIATEK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "231-780-6077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "066800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207676",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.