Timothy Scott Keller, BC - HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3251 Issued in IL

Practice address

416 E 2ND St
Centralia, IL 62801-3513

Phone

(618) 532-8452

Fax

(573) 755-1080

NPI assigned

Jul 31, 2014

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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.

• Audio Hearing Aid Center of Centralia

  • Hearing Aid Equipment
  • Centralia, IL
  • NPI 1336475433
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1144638362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HODGENS MILL LN",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696671",
            "telephone_number": "618-792-9906",
            "fax_number": "573-755-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E 2ND ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013513",
            "telephone_number": "618-532-8452",
            "fax_number": "573-755-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Clintonian Plz",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622301501",
            "country_code": "US",
            "telephone_number": "618-616-3394",
            "fax_number": "573-755-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "BC - HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Karaffa, APN
• Kaskaskia Special Ed Dist
• Kaskaskia Workshop, Inc.
• Kaskaskia Workshop, Inc.
• Carlie Michelle Kasten
• Kamran Amir Khan, M.D.
• Naeem Anwar Khan, MD
• Robert J Killian, MD
• Kathy Kingsley, RN
• Caitlin Kirgan

• Hearing Instrument Specialist in Centralia, IL
• Providers in Centralia, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.