Organization Active NPI

Keller Anesthesia Services

  • Anesthesiology Physician
  • Sheffield, AL
National Provider Identifier
1356064844
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KELLER ANESTHESIA SERVICES
Practice address
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone
(888) 829-0068
NPI assigned
Sep 21, 2022
Organization subpart
Yes
Parent organization
HH HEALTH SYSTEM - SHOALS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Penny Westmoreland
Title
Ao
Phone
(256) 386-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Mailing address

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Other names 1

  • Keller Anesthesia Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127000331 AL Part B Supplier - Clinic/Group Practice 4880065929 Receives reassigned benefits from 26 practitioners
Practice locations: Florence, AL; Sheffield, AL; Tuscumbia, AL

National Provider Directory

National Provider Directory
Tax ID family
HH Health System-Shoals4 organizations share this tax ID, including this one
Part of
HH Health System-Shoals

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1356064844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "888-829-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER ANESTHESIA SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM - SHOALS LLC",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WESTMORELAND",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "256-386-4550"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.