Teresa H Keller, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

C1-0002416 Issued in DE

Practice address

16 S Dupont Hwy
Milford, DE 19963-1027

Phone

(302) 422-2022

Fax

(302) 422-5366

NPI assigned

Jul 13, 2005

Reactivated

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1962400994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S DUPONT HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631027",
            "telephone_number": "302-422-2022",
            "fax_number": "302-422-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S DUPONT HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631027",
            "telephone_number": "302-422-2022",
            "fax_number": "302-422-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TERESA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-10-14",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DE",
            "license": "C1-0002416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000092301",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "00069813000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam A Kazmi
• Kathleen Drees Keegan
• Kelly Lynn Keener, D.C.
• Allison Kayla Kell, PA-C
• Ethan Frederick Keller, MD
• Krystal Kelley
• Jillian Kemmerlin, OTR
• Brooke Allison Devore Kennedy, PA-C
• Janet E Kennedy, CRNA
• Samantha Kennedy, ATC

• Pediatric Adolescent Medicine Physician in Milford, DE
• Providers in Milford, DE by specialty
• Pediatric Adolescent Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.