Keller Premier Anesthesia, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KELLER PREMIER ANESTHESIA, PLLC

Practice address

1110 E State Highway 114 Ste 150
Southlake, TX 76092-5250

Phone

(210) 996-6363

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Everly Miller

Title

Credentialing Specialist

Phone

(210) 996-6363

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saeid Esmaeily Aryan, D.O

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1144487174
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1831736206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925252",
            "telephone_number": "210-996-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925250",
            "telephone_number": "210-996-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER PREMIER ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EVERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "210-996-6363"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Hobbs Lee Karina Hobbs
• Scott Edward Kasden, M.D.
• Niranjan KC, PA-C
• Christina Ann Keils
• Jacqueline F Keish, PH.D
• Justin Keller, PT, MPT, OCS, CSCS
• Rebecca Leeanne Kellogg, AU.D.
• Kelly Cheatham Counseling
• Madison Alysse Kemp, PMHNP-BC
• Kendall Care, LLC (Kendall Acupuncture & Chiropractic)

• Anesthesiology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.