Cary S Keller MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

38793 Issued in AK

Legal business name

CARY S KELLER MD PC

Practice address

1919 Lathrop St
Suite 105
Fairbanks, AK 99701-5937

Phone

(907) 451-6561

Fax

(907) 451-4847

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Rebecca S Dean

Title

Executive Director

Phone

(907) 451-6561

Specialties & licenses 3

Addresses

Other names 1

• Sportsmedicine Fairbanks Doing business as

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1922127992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-451-6561",
            "fax_number": "907-451-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-451-6561",
            "fax_number": "907-451-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY S KELLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-451-6561"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "38793",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AK",
            "license": "38793",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "AK",
            "license": "38793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sportsmedicine Fairbanks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Michelle Cartagena de Jesus, M.D
• Kylee Ann Carter
• Monique Leann Carter
• Tremain Carter
• Rebecca Ann Carver
• Cary S Keller MD PC
• Maria Case
• Angel Casiano
• Brynn Noelle Caslavka, CSRS MSOT OTR/L
• Alison Casper, RN

• Orthopaedic Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Orthopaedic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.