Robert T Keller MD & Assco PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H4975 Issued in TX

Legal business name

ROBERT T KELLER MD & ASSCO PA

Doing business as

Robert T Keller MD

Practice address

2751 Greenoaks Rd
Fort Worth, TX 76110

Phone

(817) 737-6552

Fax

(817) 732-6597

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Robert T Keller, MDNPI 1962445346

Title

Owner

Phone

(817) 737-6585

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Robert T Keller MD Doing business as

Practitioners 2

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

• Robert Tyson Keller, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1962445346
  NPD (past) Authorized official
• Laura Todd Brown, PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1619913795
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871510784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12247",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76110",
            "telephone_number": "817-737-6552",
            "fax_number": "817-732-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 GREENOAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76110",
            "telephone_number": "817-737-6552",
            "fax_number": "817-732-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T KELLER MD & ASSCO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-737-6585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0063LZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC1238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert T Keller MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert H Kelly MD PLLC
• Robert Henry, III, MD, PA
• Robert J. Burkett, M.D., P.a.
• Robert J. Rogers, M.D., P.a.
• Robert Marriott Medical Corp
• Robert T. Zwernemann, M.D., P.a.
• Cassandra Robert, RN
• Lydia Robert
• Marshall Brooks Robert, MD
• Tyrane Roberts-Lagrone

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.