Thomas McNeese Keller, M.D., M.P.H.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G27288 Issued in CA

Practice address

1212 Farmers LN
Suite 4
Santa Rosa, CA 95405-6747

Phone

(707) 528-3374

Fax

(707) 528-3201

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1356318232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 FARMERS LN",
            "address_2": "SUITE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056747",
            "telephone_number": "707-528-3374",
            "fax_number": "707-528-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FARMERS LN",
            "address_2": "SUITE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056747",
            "telephone_number": "707-528-3374",
            "fax_number": "707-528-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "THOMAS",
        "middle_name": "MCNEESE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G 27288",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G27288",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G27288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Keller
• Jenness Marie Keller, MPH, RD
• Kim Annette Keller, RPH
• Lyle E. Keller
• Marcea Lee Keller, DNP, RN
• Anjuli Dillon Kelley, MSOT
• Jessica Kelley
• Mary Frances Kelley, PT
• Rachel T Kelley, MS
• Debra J Kelly, MFT

• Interventional Pain Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.