| Dr Ryan James Keller, DO | |
|
9511 Antilles Dr, Seminole, FL 33776-1402 | |
| (303) 266-0543 | |
| Not Available |
| Full Name | Dr Ryan James Keller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 9511 Antilles Dr, Seminole, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760714810 | NPI | - | NPPES |
| 17435277 | Medicaid | CO | |
| P01223548 | Other | CO | RR MEDICARE |
| 0097543 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036-121866 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | DR.0051234 (Colorado) | Primary |
| Entity Name | Yampa Valley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790787307 PECOS PAC ID: 5890685689 Enrollment ID: O20040316001301 |
| Entity Name | Elk River Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144311747 PECOS PAC ID: 5799753398 Enrollment ID: O20040921001325 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan James Keller, DO 9511 Antilles Dr, Seminole, FL 33776-1402 Ph: (303) 266-0543 | Dr Ryan James Keller, DO 9511 Antilles Dr, Seminole, FL 33776-1402 Ph: (303) 266-0543 |
Dr. Wladislaw G Fedoriw, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10875 Park Blvd Ste C, Seminole, FL 33772 Phone: 727-350-0453 Fax: 727-350-0455 | |
Shravan Gupta, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 7895 Seminole Blvd Ste 101-102, Seminole, FL 33772 Phone: 727-526-8000 |