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Active NPI 1497138861 Individual Practitioner Male Practitioner

Dr. Mark Allen Keller , MD

Pediatrics • Stanwood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Keller, MD is a registered healthcare professional specializing in Pediatrics in Stanwood, WA. Practice services are available at 7205 265TH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7205 265th St Nw

Stanwood, WA 982926221

Telephone 3606291500
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1881746063

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stanwood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Stanwood, WA (1802 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

CMS Verified: 2026-05-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61049864

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 PA MT209962

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Susan Carmody , ARNP

Nurse Practitioner

NPI 1104041383

Advanced Registered Nurse Practitioner

NPI 1104429414

Doctor of Pharmacy (Pharm.D.)

Dr. Grant Taylor , MD

Family Medicine

NPI 1134346810

Doctor of Medicine (M.D.)

Dr. Ana Hernandez , MD

Family Medicine

NPI 1235281718

Doctor of Medicine (M.D.)

Valorie Campbell , RD

Dietitian, Registered

NPI 1285382804

Registered Dietitian

Dr. Connie Kim , PharmD

Pharmacist - Ambulatory Care

NPI 1457133639

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address May 14, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2026

Pediatrics (License #MT209962 in PA)

📍
Updated Business Mailing Address January 08, 2026

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 2068605414)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Pediatrics (License #MD61049864 in WA)

📍
Updated Practice Location October 25, 2022

Registered at 7205 265TH ST NW, STANWOOD, WA 982926221 (Tel: 3606291500)

📍
Updated Business Mailing Address October 25, 2022

Registered at 10020 15TH PL SE, LAKE STEVENS, WA 982583830 (Tel: 6103927647)

📍
Updated Practice Location June 27, 2018

Registered at 1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046 (Tel: 2159473000)

📍
Updated Business Mailing Address June 27, 2018

Registered at 3430 WARDEN DR, PHILADELPHIA, PA 191291418 (Tel: 6103927647)

NPI Profile Active July 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2015

Registered at 5501 OLD YORK RD, PHILADELPHIA, PA 191413018 (Tel: 2154567595)

📍
Updated Business Mailing Address July 03, 2015

Registered at 8460 LIMEKILN PIKE, APT. 819, WYNCOTE, PA 190952601 (Tel: 6103927647)

👤
Provider Name / Credentials Updated July 03, 2015

Recorded as MARK KELLER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2015

Pediatrics (License #MT209962 in PA)

🟢
Initial NPI Registration & Enumeration July 03, 2015

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: 1497138861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2015
Last Update: May 14, 2026
Sole Proprietor: Yes

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

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.