DR. GEORGIA ANN KELLEY (NPI# 1013945211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013945211 |
| Entity Type | Individual |
| Full Name | DR. GEORGIA ANN KELLEY |
| Credential | M.D. |
| Practice Address |
100 Broadway North Haven CT 06473-2365 |
| Practice Telephone | 2032341891 |
| Practice Fax Number | 2032342678 |
| Mailing Telephone | 2032341891 |
| Mailing Fax Number | 2032342678 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 034092 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 0488063 | 01 |
| CT | ANTHEM BCBS | 010034092CT01 | 01 |
| CT | HEALTHNET | 0Q1536 | 01 |
| CT | CTCARE | 340920 | 01 |
| CT | CIGNA | 01034092 | 01 |
| CT | UNITED HEALTHCARE | 061535742 | 01 |
| CT | RAILROAD MEDICARE | 110180478 | 01 |
| CT | OXFORD | P499703 | 01 |
| CT | 001340926 | 05 |
| Street Address |
100 BROADWAY |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255671814 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 100 Broadway, North Haven, CT 06473-2365 | 2013-02-19 |
| 1457583684 | John M Roy | Registered Nurse | 100 Broadway, North Haven, CT 06473-2365 | 2009-08-21 |
| 1376780080 | Nutrtional Health Center | Dietitian, Registered | 100 Broadway, North Haven, CT 06473-2365 | 2009-01-16 |
| 1932350105 | Integrated Psychiatric Services Inc | Behavioral Analyst | 100 Broadway, North Haven, CT 06473-2365 | 2008-10-07 |
| 1386856813 | Connecticut Neurosurgery | Durable Medical Equipment & Medical Supplies | 100 Broadway, North Haven, CT 06473 | 2007-05-04 |
| 1518189950 | Faulkner Physical Therapy Group | Physical Therapist | 100 Broadway, North Haven, CT 06473-2365 | 2007-05-03 |
| 1326196064 | Marita Gargiulo | Dietitian, Registered | 100 Broadway, North Haven, CT 06473-2365 | 2007-01-08 |
| 1174603682 | Medical Associates of North Haven LLC | Internal Medicine | 100 Broadway, North Haven, CT 06473-2365 | 2006-10-17 |
| 1689619041 | Gidon Feivel Goldenberg | Internal Medicine | 100 Broadway, North Haven, CT 06473-2365 | 2006-06-19 |
| 1336183888 | Eric Paul Liben | Internal Medicine | 100 Broadway, North Haven, CT 06473-2365 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710399548 | Amy Chai | Internal Medicine | 144 Blue Hills Rd, North Haven, CT 06473-1052 | 2014-05-28 |
| 1780936047 | James B Fanning Md PC | Internal Medicine | 2 George Street, North Haven, CT 06473 | 2012-10-11 |
| 1669670956 | Hernan Rodrigo Silva | Internal Medicine | 5 King Arthur Ct, North Haven, CT 06473-1043 | 2007-07-06 |
| 1316978349 | Village Medical Associates, P.C. | Internal Medicine | 12 Village Street, Suite 5, North Haven, CT 06473 | 2006-07-06 |
| 1861436735 | Jeffrey Hale Gimbel | Internal Medicine | 3 Lincoln St, North Haven, CT 06473-1807 | 2006-06-15 |
| 1538130307 | James Bernard Fanning Sr. | Internal Medicine | 2 George St, North Haven, CT 06473-1822 | 2006-01-30 |
| 1164418257 | Donald Kagan | Internal Medicine | 2 Broadway Ste 2, North Haven, CT 06473 | 2005-09-23 |
| 1316933419 | Fausto Petruzziello | Internal Medicine | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2005-09-23 |
| 1427439249 | Vikram Rao | Internal Medicine | 4a Devine St, North Haven, CT 06473-2142 | 2015-06-17 |
| 1033554555 | Brian Sebastian Wojeck | Internal Medicine | 8 Devine St, North Haven, CT 06473-2172 | 2013-05-10 |
| Find all providers in NORTH HAVEN | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
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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.