| Dr Ryan James Keller, DO | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-8610 | |
| (352) 273-8612 |
| Full Name | Dr Ryan James Keller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1600 Sw Archer Rd, Gainesville, 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 |
| 131210500 | Medicaid | FL | |
| 17435277 | Medicaid | CO | |
| 0097543 | Medicaid | IA | |
| P01223548 | Other | CO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | DR.0051234 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | 036-121866 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | OS23678 (Florida) | 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 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8610 |
Dr. William Brit Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
Kyndal Smith, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
J'woin Maalik Harrison, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-7906 | |
Kellen Creech, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 | |
Dr. Tessa Elisabeth Baumgardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 | |
Dr. Timothy Vincent Feldheim, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612 | |
Spencer Moreland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-7986 |