Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003942145 Individual Practitioner Male Practitioner

Dr. Scott Robert Keller , MD

Pediatrics • Swansea, IL

Professional Overview & Biography Verified Profile Summary

Dr. Scott Keller, MD is a registered healthcare professional specializing in Pediatrics in Swansea, IL. Practice services are available at 3 PARK PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3 Park Pl

Swansea, IL 622262965

Telephone 6182229244
Fax 6182229248
Associated Practice Facility / Clinic
🏢 Ssm Medical Group Facility NPI 1619150703

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Swansea, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Swansea, IL (3277 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.132786

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2007011139

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2004014306

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
209903004 (MO)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Keisha Young , FNP-C

Nurse Practitioner

NPI 1356833941

Family Nurse Practitioner (Certified)

NPI 1366475303

Doctor of Medicine (M.D.)

NPI 1487672903

Doctor of Medicine (M.D.)

Shaunte Moore , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1558898510

CPNPPC

Julia Harms , CPNP

Nurse Practitioner - Pediatrics

NPI 1568751253

Certified Pediatric Nurse Practitioner

NPI 1619515384

CPNPPC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2013

Registered at 3 PARK PL, SWANSEA, IL 622262965 (Tel: 6182229244)

📍
Updated Business Mailing Address October 02, 2013

Registered at 3 PARK PL, SWANSEA, IL 622262965 (Tel: 6182229244)

👤
Provider Name / Credentials Updated October 02, 2013

Recorded as SCOTT KELLER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2013

Pediatrics (License #036.132786 in IL)

🟢
Initial NPI Registration & Enumeration February 25, 2007

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: 1003942145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2007
Last Update: October 02, 2013
Sole Proprietor: No

Mailing Address

3 Park Pl

Swansea, IL 622262965

Phone: 6182229244

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.