Gerald Louis Keller Jr., CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

079627 Issued in MO

Practice address

10435 Clayton Rd
Frontenac, MO 63131-2909

Phone

(314) 995-3990

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Surgeon's First Choice, L.L.C.

  • Registered Nurse First Assistant
  • Saint Peters, MO
  • NPI 1972778553
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144336876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MINUS DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764089",
            "telephone_number": "636-397-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312909",
            "telephone_number": "314-995-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GERALD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "079627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Pain Center Inc (Injury Specialists)
• Darcy Greenberg
• Mark Louis Greenberg, M.D.
• Danielle Marie Hargate, ATC
• Ellie Huff, RD, LD, CSCS
• Jennifer Kraemer, DPT
• Evan Kuhl, PT, DPT, XPS, USAW-1
• Kunj Govind Patel MD LLC, a Series LLC (Center for Regenerative and Interventional Spine and Sports Pain)
• Life Clinic of Mo DC PC
• Paige M Luth, DC

• Registered Nurse First Assistant in Frontenac, MO
• Providers in Frontenac, MO by specialty
• Registered Nurse First Assistant in Missouri

• 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.

Verify at the official NPI Registry.