Thomas M. Keller, M.D. Professional Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0G272880 Issued in CA

Legal business name

THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION

Practice address

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

Phone

(707) 528-3374

Fax

(707) 528-3201

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Keller

Title

Administrator

Phone

(707) 528-3374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1760781231",
    "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": {
        "organization_name": "THOMAS M. KELLER, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-528-3374"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "0G272880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Alexandra Thiel, LMFT
• Gregory Rembert Thigpen, PSYD
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• Thomas Chiropractic Corporation
• Thomas M. Collins Chiropractic, Inc.
• Brock Anthony Thomas, D.M.D.
• Christine Michele Thomas, LMFT
• Daniel James Thomas, P.T.
• Gayle Lynn Thomas
• Helen Mary Thomas, DC

• 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 23, 2011; 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.