GORDON R KELLY (NPI# 1023082336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023082336 |
| Entity Type | Individual |
| Full Name | GORDON R KELLY |
| Credential | MD |
| Practice Address |
254 Stratton Rd Rutland VT 05701 |
| Mailing Address |
254 Stratton Rd Gordon R Kelly Md Rutland VT 05701 |
| Practice Telephone | 8027750038 |
| Practice Fax Number | 8027470602 |
| Mailing Telephone | 8027750038 |
| Mailing Fax Number | 8027470602 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0420004097 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0004346 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314250 | Gordon M Kelly | Surgery | 355 Clear Creek Pkwy, Suite 1003, Lavonia, GA 30553-4174 | 2005-08-24 |
| Street Address |
254 STRATTON RD |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083637946 | Associates In Internal Medicine, Inc. | Internal Medicine | 254 Stratton Rd, Suite 2, Rutland, VT 05701-4675 | 2006-07-25 |
| 1649224031 | Stephen M Brittain | Psychiatry & Neurology | 254 Stratton Rd, Rutland, VT 05701 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| 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 |
|---|---|---|---|---|
| 1487670642 | Central Vermont Eye Care, P.C. | Ophthalmology | 69 Allen Street, Suite 15, Rutland, VT 05701 | 2006-07-14 |
| 1962450742 | Vered Sobel | Ophthalmology | 65 Allen St, Rutland, VT 05701-4501 | 2006-05-04 |
| 1164669776 | Rutland Eye Physicians, LLC | Ophthalmology | 73 Center St, Rutland, VT 05701-4046 | 2009-01-20 |
| 1336165596 | Praveen H. Keshava | Ophthalmology | 69 Allen St, Suite 15, Rutland, VT 05701 | 2006-07-14 |
| 1801851092 | John F. Coco | Ophthalmology | 71 Allen St, Suite 202, Rutland, VT 05701-4570 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235526567 | Jonathan Manhard | Ophthalmology | 1100 Hinesburg Rd Ste 201, South Burlington, VT 05403-7613 | 2015-04-24 |
| 1760748693 | Northwestern Medical Center, Inc. | Ophthalmology | 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 | 2012-04-04 |
| 1083905590 | Brian Christopher Doyle | Ophthalmology | 81 River St Ste 204, Montpelier, VT 05602-3750 | 2011-05-02 |
| 1598915332 | Miranda Kirstin Renfrow | Ophthalmology | 1290 Hospital Dr Ste 5, Saint Johnsbury, VT 05819-9205 | 2008-09-30 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1689789240 | Gerald R Saparoff Md PC | Ophthalmology | 212 Prouty Drive, Suite 2, Newport, VT 05855 | 2006-08-21 |
| 1437169661 | David J Weissgold | Ophthalmology | 181 Saint Paul St, Burlington, VT 05401-4636 | 2006-08-09 |
| 1275549214 | Joanne Marie Savard | Ophthalmology | 58 East View Lane/berlin, The Eye Center, Barre, VT 05641 | 2006-07-31 |
| 1134146970 | Armando J Coello | Ophthalmology | 58 E View Ln, Barre, VT 05641-5317 | 2006-07-17 |
| 1205882065 | Thomas J. Cavin | Ophthalmology | 55 Timber Ln, South Burlington, VT 05403-5203 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
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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.