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DR. SCOTT ROBERT KELLER M.D. NPI 1003942145


NPI Information

NPI: 1003942145
Provider Name: DR. SCOTT ROBERT KELLER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3 PARK PL
SWANSEA, IL
ZIP 62226
Phone: (618) 222-9244
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DR. Scott Robert Keller, M.D. is a pediatrics in Swansea, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Scott Robert Keller, M.D. NPI is 1003942145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 PARK PL
SWANSEA, IL
ZIP 62226-965
Phone: (618) 222-9244
Fax: (618) 222-9248

The enumeration date for this NPI number is 2/25/2007 and was last updated on 10/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics2004014306MISSOURINo
2208000000XPediatrics2007011139MISSOURINo
3208000000XPediatrics036.132786ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209903004MEDICAIDMISSOURI
2968160653MEDICARE PINMISSOURI
3I72589MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.