Active NPI
Roy Truman Keller Jr., CFA
- Surgical Technologist
- Tucson, AZ
National Provider Identifier
1154496479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 7320 N la Cholla Blvd
Suite #154-218
Tucson, AZ 85741-2309 - Phone
- (520) 404-8562
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
7320 N la Cholla Blvd
Suite #154-218
Tucson, AZ 85741-2309
Mailing address
115 E Brearley Dr
Tucson, AZ 85737-6639
Phone (520) 797-4657
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1154496479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E BREARLEY DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857376639",
"telephone_number": "520-797-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 N LA CHOLLA BLVD",
"address_2": "SUITE #154-218",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412309",
"telephone_number": "520-404-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ROY",
"middle_name": "TRUMAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.