Douglas Paul Kellerman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8001 Issued in FL

Practice address

410 NE 44TH St
Oakland Park, FL 33334-1423

Phone

(954) 561-4700

Fax

(954) 561-0812

NPI assigned

Feb 2, 2007

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael F Petrie DC PAGroup PAC ID 5092867721, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael F Petrie DC PA

  dba Petrie Chiropractic Life Center

  • Anesthesiology Physician
  • Oakland Park, FL
  • NPI 1588801492
  Medicare reassignment Care Compare group
• Integrated Medical Wellness LLC

  • Physical Medicine & Rehabilitation Physician
  • Oakland Park, FL
  • NPI 1821654310
  NPD Authorized official
• Kellerman Family Chiropractic Inc

  • Chiropractor
  • Oakland Park, FL
  • NPI 1750468195
  NPD (past) Authorized official
• Oakland Park Integrated Medical Care LLC

  • Clinic/Center
  • Oakland Park, FL
  • NPI 1447886361
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1194863100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341423",
            "telephone_number": "954-561-4700",
            "fax_number": "954-561-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341423",
            "telephone_number": "954-561-4700",
            "fax_number": "954-561-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Joseph Kaplan, M.D.
• Daniel M Kasuba, PA
• Lori Kaufman, MS
• Justine Kelderhouse, A.R.N.P.
• Kellerman Family Chiropractic Inc
• Cynthia Ellen Kelley, RNFA
• Regina Rosanwalde Kelly-Scurry, PH.D.
• Samuel E Kelly
• Patrick Jarret Kenney, D.O.
• Evan Kern, DPT

• Chiropractor in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.