JEREMIAH F KELLY (NPI# 1043349608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043349608 |
| Entity Type | Individual |
| Full Name | JEREMIAH F KELLY |
| Credential | M.D. |
| Practice Address |
Senior Health Clinic Unm 1101 Medical Arts Ave Ne Albuquerque NM 87131-0001 |
| Practice Telephone | 5052726082 |
| Practice Fax Number | 5052727782 |
| Mailing Telephone | 5052726082 |
| Mailing Fax Number | 5052727782 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2011-0248 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD2011-0248 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
SENIOR HEALTH CLINIC UNM 1101 MEDICAL ARTS AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1023222916 | Gabriella Good Md LLC | Internal Medicine | 3015 Indian Farm Ln Nw, Albuquerque, NM 87107-2654 | 2007-05-09 |
| 1427133073 | M. Aslam Khan Lodhi | Internal Medicine | 1100 Central Avenue Se, Albuquerque, NM 87106-4930 | 2006-10-25 |
| 1346291192 | Lisa A Marr | Internal Medicine | University of New Mexico Unm Palliative Care Ofc, Msc 11 6020, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-05-15 |
| 1548615313 | Genesis Eldercare Physician Services LLC | Internal Medicine | 7900 Constitution Ave Ne, Albuquerque, NM 87110 | 2016-04-29 |
| 1801276720 | Andrea G Lill | Internal Medicine | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-06-05 |
| 1700185071 | Akeela Oaris | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2011-03-25 |
| 1073839981 | Mary Anne Spivey | Internal Medicine | 1501 San Pedro Dr Se, New Medico Va Health Care System, Albuquerque, NM 87108-5153 | 2010-04-16 |
| 1952503450 | Devon Anne Neale | Internal Medicine | 1101 Medical Arts Ave Ne, Bldg 4, Suite A, Albuquerque, NM 87102-2706 | 2007-06-05 |
| 1083834030 | Suzanne Marie Pinon Md LLC | Internal Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2007-05-01 |
| 1548489628 | David Scrase | Internal Medicine | 1101 Medical Arts Ave Ne, Suite A, Albuquerque, NM 87102-2706 | 2007-04-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
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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.