Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101042235 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101042235 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | RF7F81 | MO |
N | 207RI0011X | Interventional Cardiology | 01010462235 | VA |
NPI | 1205928876 |
---|---|
Provider Name | Dr. Andrew J Keller |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Culpeper, VA 22701-3917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004 | CAREFIRST (01) | |
00V370C96 | MEDICARE OF VA (01) | |
060058383 | RAILROAD MEDICARE (01) | |
40159 | ALLIANCE GEHA (01) | |
40159 | MAMSI (01) | |
40159 | MDIPA (01) | |
40159 | OPTIMUM CHOICE (01) | |
4120244 | AETNA PPO MC (01) | |
432666 | ANTHEM (01) | |
432667 | ANTHEM HEALTHKEEPERS PLUS (01) | |
505382 | NCPPO (01) | |
541977219 | CIGNA (01) | |
541977219 | NALC AFFORDABLE (01) | |
541977219 | TRICARE (01) | |
541977219 | UNITED HEALTHCARE (01) | |
958360 | AETNA HMO (01) | |
A13982 | (02) | |
P00025866 | RAILROAD MEDICARE (01) |