Active NPI
Don Land Keller, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9226143
- Practice address
- 648 Park Ave
Montgomery, AL 36106-1837 - Phone
- (334) 294-9342
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9226143 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1-091032 | AL |
Addresses
Primary practice location
648 Park Ave
Montgomery, AL 36106-1837
Mailing address
648 Park Ave
Montgomery, AL 36106-1837
Phone (334) 294-9342
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3666 | Other | FL | BLUECROSS BLUESHIELD |
| 306849800 | Medicaid | FL | |
| 59177497 | Other | AL | BLUECROSS BLUESHIELD |
| 009988575 | Medicaid | AL | |
| P00217034 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 513-1173
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-091032 | AL | MD | Certified Registered Nurse Anesthetist |
| ARNP9226143 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vaxinall LLC. | Current | Accepting new patients | |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
Interoperability endpoints
- don.keller@direct.baptistfirst.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Public Health or Welfare Agency
- Montgomery, AL
- NPI 1992993562
-
dba SAM Critical Response Service
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center East
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1487656989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 PARK AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061837",
"telephone_number": "334-294-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 PARK AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061837",
"telephone_number": "334-294-9342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DON",
"middle_name": "LAND",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9226143",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-091032",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "G3666",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306849800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "59177497",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009988575",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00217034",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.