Edward L Keppler, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01031244A Issued in IN

Practice address

330 N Wabash
Suite G20
Marion, IN 46952-2555

Phone

(765) 660-7600

Fax

(765) 651-7313

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: edward.keppler@mgh.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marion Surgeons, Inc

  • Specialist
  • Marion, IN
  • NPI 1174684138
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1104828334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "SUITE 370",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522678",
            "telephone_number": "765-660-7500",
            "fax_number": "765-662-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "SUITE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522555",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLER",
        "first_name": "EDWARD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01026272",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01031244A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100377800",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000751385",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent D Kelley, PH.D.
• Donald Aaron Kellogg
• Stuart Glen Kelly, DDS
• John Wayne Kennedy, MD
• Benjamin C Keplar, LCSW
• Christopher M. Kerby, O.D.
• Kayla Marie Key, FNP-C
• Sirajabid Khatib, MD
• Marty Jo Kieninger, RN
• Brian Lee Killian

• Surgery Physician in Marion, IN
• Providers in Marion, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.