DR. MICHAEL WALKER KELLY (NPI# 1013956150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013956150 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WALKER KELLY |
| Credential | MD |
| Practice Address |
8851 Ellstree Ln Suite 200 Raleigh NC 27617-2045 |
| Practice Telephone | 9192821100 |
| Practice Fax Number | 9192821119 |
| Mailing Telephone | 9192821100 |
| Mailing Fax Number | 9192821119 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 38107 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8911179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
8851 ELLSTREE LN SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27617-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144275439 | Sean Winston Smolenyak | Optometrist | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2045 | 2006-05-24 |
| 1760610836 | Brier Creek Imaging, LLC | Physiological Laboratory | 8851 Ellstree Ln, Suite 100, Raleigh, NC 27617-2045 | 2009-06-29 |
| 1366472177 | The Kelly Eye Center Pa | Durable Medical Equipment & Medical Supplies | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2045 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1568006310 | Aubrey Nicole Stephenson | Dietitian, Registered | 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 | 2019-11-05 |
| 1982114567 | Method Manual Physical Therapy and Wellness LLC | Physical Therapist | 9244 Miranda Drive, Raleigh, NC 27617 | 2017-10-09 |
| 1588182539 | Aqsa Salman | Counselor | 11736 Dellcain Court, Raleigh, NC 27617 | 2017-08-30 |
| 1962942326 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10440 Glenwood, Durham, NC 27617 | 2017-03-06 |
| 1457896037 | Emergeortho Pa | Durable Medical Equipment & Medical Supplies | 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 | 2017-01-05 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1821457789 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7231 Acc Blvd Ste 103, Raleigh, NC 27617 | 2016-02-19 |
| 1033583760 | America Alisha Allen | Social Worker | 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 | 2015-11-18 |
| Find all providers in zip 27617 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235001 | Capital Eye Center | Ophthalmology | 720 West Jones St, Raleigh, NC 27612 | 2014-08-05 |
| 1568882389 | James Constans | Ophthalmology | 2709 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6462 | 2014-04-19 |
| 1215236419 | Pradeep Mettu | Ophthalmology | 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607 | 2011-03-28 |
| 1427360783 | Lindsay Elise Adam | Ophthalmology | 2709 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6462 | 2010-07-02 |
| 1487985248 | New Century Ophthalmology Group, Pllc | Ophthalmology | 5720 Creedmoor Rd Ste 101, Raleigh, NC 27612-2382 | 2010-01-19 |
| 1457499089 | Franklin Li | Ophthalmology | 2406 Blue Ridge Rd Ste 280, Raleigh, NC 27607-6680 | 2007-02-03 |
| 1770632564 | Koury Eye Clinic, LLC | Ophthalmology | 8305 Wycombe Ln, Raleigh, NC 27615-3036 | 2007-01-09 |
| 1225195142 | North Raleigh Ophthalmology, P.a. | Ophthalmology | 1422 East Millbrook Road, Raleigh, NC 27609-5179 | 2007-01-02 |
| 1568536563 | Mccormick Ophthalmology Pa | Ophthalmology | 8015 Creedmoor Rd, Suite 201, Raleigh, NC 27613-4397 | 2006-11-20 |
| 1972698439 | Albert Rogers Munn IIi | Ophthalmology | Capital Eye Center, 720 W Jones St, Raleigh, NC 27603-1427 | 2006-10-03 |
| Find all providers in RALEIGH | ||||
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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.