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Deactivated NPI 1720071764 Deactivated / Inactive NPI Male Practitioner

Dr. Alan L. Keller , MD

Surgery - Vascular Surgery • Ocoee, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alan Keller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2005
NPI Deactivation Date March 27, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Alan Keller, MD was a registered Surgery - Vascular Surgery practicing in Ocoee, FL. Throughout an active medical career spanning 1 years, Dr. Keller provided care at the practice location at 10000 W COLONIAL DR until profile deactivation on 2006-03-27.

Practice Location & Contact Primary Location

Practice Address

10000 W Colonial Dr
Suite 495

Ocoee, FL 347613400

Telephone 4072935944
Associated Practice Facility / Clinic
🏢 West Orange Healthcare Inc Facility NPI 1720073737

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Ocoee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Ocoee, FL (412 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License FL ME51243

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1083665459

Physician Assistant (Certified)

NPI 1215983978

Doctor of Medicine (M.D.)

Paige Cupp

Physician Assistant

NPI 1255876827
Shaihanne Singh

Nurse Practitioner

NPI 1356177786
Dr. Chris Wehr , MD

Surgery - Vascular Surgery

NPI 1407940893

Doctor of Medicine (M.D.)

Dr. John Horowitz , MD

Surgery - Vascular Surgery

NPI 1497729214

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 16, 2015

Registered at 10000 W COLONIAL DR, SUITE 495, OCOEE, FL 347613400 (Tel: 4072935944)

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Updated Business Mailing Address July 16, 2015

Registered at 9712 LAKE ISLEWORTH CT, WINDERMERE, FL 347868919 (Tel: 4078766426)

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Provider Name / Credentials Updated July 16, 2015

Recorded as ALAN KELLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Surgery (License #ME51243 in FL)

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NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

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NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

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Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720071764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2005
Last Update: July 16, 2015
Deactivation Date: March 27, 2006
Sole Proprietor: No

Mailing Address

9712 Lake Isleworth Ct

Windermere, FL 347868919

Phone: 4078766426

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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