DR. VIRGINIA SOHN KELLY (NPI# 1043324270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043324270 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA SOHN KELLY |
| Credential | M.D. |
| Practice Address |
12345 Sw Horizon Blvd Ste 57 Beaverton OR 97007-9475 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032168820 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD190811 | OR | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 036082185 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036082185 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083001614 | Virginia Kelly | Speech-Language Pathologist | 5811 66th Ave W, University Place, WA 98467-4928 | 2015-04-21 |
| 1679131155 | Virginia P Kelly | Case Manager/Care Coordinator | 4155 Tudor Centre Dr, Anchorage, AK 99508-5912 | 2019-05-30 |
| 1912448168 | Virginia Kelly | Counselor | 75 Cavalier Blvd, 110, Florence, KY 41042-3950 | 2017-03-20 |
| 1154723567 | Virginia Kelly | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2014-09-17 |
| 1033251996 | Virginia Kelly | Counselor | 225 Main St, Westport, CT 06880-3216 | 2007-02-13 |
| 1184619306 | Virginia L Kelly | Nurse Anesthetist, Certified Registered | 850 Riverview Rd, Pineville, KY 40977-1430 | 2005-09-14 |
| Street Address |
12345 SW HORIZON BLVD STE 57 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-9475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068348 | Cody Daryoosh Kaveh | Physical Therapist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2020-06-25 |
| 1487176657 | Randolph Wes Smith | Speech-Language Pathologist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2017-07-10 |
| 1730636481 | Kristin M Knight | Speech-Language Pathologist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-09-09 |
| 1669825550 | Dustin Craig Cheney | Family Medicine | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-07-15 |
| 1336598416 | Krista Dunton | Physical Therapist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-06-08 |
| 1104271600 | Kathryn Marie Lund | Nurse Practitioner | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-05-03 |
| 1649682576 | Sarah Julane Wolff | Family Medicine | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2014-05-27 |
| 1356773949 | Evan Alex Hiles | Physical Therapist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2013-08-06 |
| 1265745947 | Heather S Abe | Obstetrics & Gynecology | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2010-07-22 |
| 1164683843 | Devn Tyler Brown | Physical Therapist | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2008-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386739753 | Harriet Russell Stosur | Obstetrics & Gynecology | 6600 Sw 105th Ave, Suite 205, Beaverton, OR 97008-8832 | 2006-10-03 |
| 1982798641 | Stella Marie Dantas | Obstetrics & Gynecology | 4855 Sw Western Avenue, Beaverton, OR 97005-3460 | 2006-10-03 |
| 1265745947 | Heather S Abe | Obstetrics & Gynecology | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2010-07-22 |
| 1619144789 | Dawn Marie Stanek | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton Medical Office, Beaverton, OR 97005-3460 | 2008-05-08 |
| 1306992516 | Ann Marie Stanek | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2007-01-28 |
| 1043308562 | Sandra Meacham Reed | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-10-10 |
| 1437243896 | Joseph Doran Murphy | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-10-03 |
| 1245341114 | Kevin Scott Overbeck | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-08-31 |
| 1235249103 | Nancy Ann Jauch | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-08-30 |
| 1326157967 | Becky Renee Overbeck | Obstetrics & Gynecology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-08-29 |
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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.