EMILY KELLY (NPI# 1003439126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003439126 |
Entity Type | Individual |
Full Name | EMILY KELLY |
Practice Address |
43033 Ford Rd Canton MI 48187-3375 |
Mailing Address |
2420 Emerson Cir Shelby Township MI 48317-4517 |
Practice Telephone | 7349275050 |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601010141 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2420 Emerson Cir, Shelby Township, MI 483174517 | 5869429455 | |
300 W Oak St, Carbondale, IL 629011400 | 6184538850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124577028 | Emily Kelly | Behavior Technician | 99-870 Iwaena St # 101, Aiea, HI 96701-3278 | 2016-10-03 |
1477193902 | Emily Kelly | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-01-13 |
1639711625 | Emily Katherine Kelly | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2019-10-11 |
1619435955 | Emily N Kelly | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-03-06 |
1447729140 | Emily G Kelly | Physical Therapist | 625 Walnut St, Mckeesport, PA 15132-2806 | 2018-11-26 |
1972018836 | Emily Kelly | Counselor | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2017-12-13 |
1164962155 | Emily Fell Kelly | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Surgery, Shreveport, LA 71103-4228 | 2017-02-24 |
1992158604 | Emily Lane Kelly | Counselor | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2016-07-18 |
1023476249 | Emily Kelly | Early Intervention Provider Agency | 196 Sara Ln, Newburgh, NY 12550-2597 | 2016-02-02 |
1245590249 | Emily Ann Kelly | Counselor | 5725 Ne Prescott St, Portland, OR 97218-2275 | 2012-05-23 |
Street Address |
43033 FORD RD |
City | CANTON |
State | MI |
Zip Code | 48187-3375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063961092 | Chad Evans | Rehabilitation Practitioner | 43033 Ford Rd, Canton, MI 48187-3375 | 2016-10-03 |
1972083152 | Christina Colarossi | Physician Assistant | 43033 Ford Rd, Canton, MI 48187-3375 | 2018-08-17 |
1497290621 | Emily Ann Robertson | Physician Assistant | 43033 Ford Rd, Canton, MI 48187-3375 | 2016-12-25 |
1649712480 | Canton Urgent Care Walk-in Clinic PC | Clinic/Center | 43033 Ford Rd, Canton, MI 48187-3375 | 2016-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
Find all providers in zip 48187 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164048674 | Rebecca Lynn Yunk | Physician Assistant | 50433 Monroe St, Canton, MI 48188-6601 | 2020-06-20 |
1780210781 | Olivia Anastasia Basso | Physician Assistant | 4912 Higbee Ave Nw Ste 200, Canton, OH 44718-2599 | 2020-03-21 |
1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
1578113593 | Luiza Lica | Physician Assistant | 246 Princess Dr, Canton, MI 48188-1142 | 2019-09-12 |
1235614900 | Eva Louisa Paoloni | Physician Assistant | 1105 W Maple St Apt 3, Canton, OH 44720-2869 | 2018-09-28 |
1992281653 | Elizabeth Judy | Physician Assistant | 460 Northside Cherokee Blvd Ste 430, Canton, GA 30115-8020 | 2018-07-16 |
1083124051 | Stephanie Black | Physician Assistant | 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 | 2017-10-04 |
1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
1588111074 | Kinjal Shah | Physician Assistant | 43767 Ford Rd, Canton, MI 48187-3185 | 2016-09-01 |
1144683731 | Ellen Catherine Mitchell | Physician Assistant | 48575 Joy Rd, Canton, MI 48187-1214 | 2016-03-31 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.