Sheryl Peterson Keller, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

042-0008616 Issued in VT

Practice address

111 Colchester Ave
Main Pavilion-Level 2 Breast Care Center
Burlington, VT 05401-1473

Phone

(802) 847-2262

Fax

(802) 847-2941

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346254034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELK LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957036",
            "telephone_number": "802-878-0056",
            "fax_number": "802-847-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "MAIN PAVILION-LEVEL 2 BREAST CARE CENTER",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-2262",
            "fax_number": "802-847-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SHERYL",
        "middle_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VT",
            "license": "042-0008616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0538",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01350229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Kellar, MS, AAP
• Barbara Keller, LCMHC
• Gary Aron Keller, M.D.
• Marc I Keller, M.D,
• Ray Eugene Keller, M.D.
• Kyle James Kellett
• Brian Kelley, APRN-BC,MSN
• Cathleen M Kelley, LICSW
• Katherine Alma Kelley, LADC
• Andrea Lee Kelly, M.A.

• Surgical Oncology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Surgical Oncology Physician in Vermont

• 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.