Nathaniel Keller MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME87905 Issued in FL

Legal business name

NATHANIEL KELLER MD PA

Practice address

7469 NW 4TH St
Plantation, FL 33317-2216

Phone

(954) 792-0772

Fax

(954) 792-1221

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Keller, MDNPI 1144411844

Title

Owner President

Phone

(954) 792-0772

Specialties & licenses 1

Addresses

Other names 1

• Keller Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel A Keller, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1144411844
  Medicare reassignment Authorized official
• Ramsey Pevsner, DO

  • Psychiatry Physician
  • Plantation, FL
  • NPI 1841223559
  Medicare reassignment NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1245306810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL KELLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-792-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME87905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy L Narcisse, LICENSED MASSAGE THE
• Ashkan Nasr, DO
• Anil K. Nasta, M.D.
• Nathan Digestivecare LLC
• Ramasamy Swami Nathan, M.D.
• National Healthcare Group LLC
• National Mentor Health Care LLC
• National Mentor Healthcare LLC
• National Mentor Healthcare LLC
• Nationsbenefits, LLC

• Psychiatry Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.