Active NPI
Sarah June Keller, M.D.
- Rheumatology Physician
- Sturgeon Bay, WI
National Provider Identifier
1083815328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 336074831
- Practice address
- 323 S 18TH Ave
Sturgeon Bay, WI 54235-1401 - Phone
- (920) 746-3501
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 336074831 | IL | Primary |
Addresses
Primary practice location
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Mailing address
836 Wisconsin Ave
Oak Park, IL 60304-1044
Phone (708) 763-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336074831 | IL | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083815328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 WISCONSIN AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041044",
"telephone_number": "708-763-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-746-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "SARAH",
"middle_name": "JUNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "336074831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.