Provider Type Icon

DR. JEFFREY KELLER MD NPI 1619956364


NPI Information

NPI: 1619956364
Provider Name: DR. JEFFREY KELLER, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 535-4130
Get Directions

DR. Jeffrey Keller, MD is an emergency medicine in Idaho Falls, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Jeffrey Keller, MD NPI is 1619956364. 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:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 535-4130
Fax: (208) 535-4125

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineM5386IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157984OTHERBLUE CROSS
2E07735MEDICARE UPIN
31122518MEDICARE ID-TYPE UNSPECIFIEDIDAHO

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: 11/14/2023

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.