DR. KELLY ANN LENZ (NPI# 1053305177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305177 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANN LENZ |
| Credential | M.D. |
| Practice Address |
3315 Watt Ave Sacramento CA 95821-3600 |
| Mailing Address |
Po Box 660910 Sacramento CA 95866-0910 |
| Practice Telephone | 9164816800 |
| Practice Fax Number | 9164811881 |
| Mailing Telephone | 9164816800 |
| Mailing Fax Number | 9164811881 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2010-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G76818 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN NUMBER | CF644Z | 01 |
| CA | GR0028370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| 1891775045 | Kelly J Lenz | Physical Therapist | 1921 N Charles G Seivers Blvd, Clinton, TN 37716-6747 | 2006-01-21 |
| Street Address |
3315 WATT AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987631 | Joseph P Osterkamp | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2005-07-21 |
| 1336596592 | William Lee | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2016-05-18 |
| 1447646617 | Darcey Lynn Schultz | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821 | 2015-04-14 |
| 1447646138 | Andrew Mark Silberg | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2015-04-09 |
| 1659765071 | Susan Young Kim | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2015-03-24 |
| 1831589316 | Peter Lap Nguyen | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2015-02-04 |
| 1356760771 | Bijan Osmani | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2014-04-14 |
| 1720401284 | Sacsolano Anesthesia Exchange Medical Group, Inc | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2014-02-03 |
| 1023452042 | Jeffrey Brian Walker | Anesthesiology | 3315 Watt Ave, Department of Anesthesiology, Sacramento, CA 95821-3600 | 2013-04-21 |
| 1558627992 | Joseph Wayne Holecko | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432319 | Annette A Keochekian Md Inc | Anesthesiology | 2288 Auburn Blvd Ste 201, Sacramento, CA 95821-1620 | 2018-10-08 |
| 1881044857 | Karl Kristiansen | Anesthesiology | Department of Anesthesiology and Pain Medicine, 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2016-06-20 |
| 1174949218 | Eugene Andre Mansour | Anesthesiology | 4150 V St Street, Suite 1200, Sacramento, CA 95817-1460 | 2014-03-13 |
| 1912246281 | Cristina Chandler | Anesthesiology | 4150 V St.ucdmc Dept. of Anesthesiology & Pain Medicine, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2013-02-06 |
| 1356619936 | Rory Scott Jaffe | Anesthesiology | 1215 K St, Ste 800, Sacramento, CA 95814-3945 | 2011-12-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1720374622 | Tyler Bevins | Anesthesiology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 | 2011-06-20 |
| 1396064408 | Charles John De Mesa | Anesthesiology | 4860 Y St Ste 3020, Sacramento, CA 95817-2307 | 2010-05-28 |
| 1619101680 | Niraj Niranjan | Anesthesiology | 4150 V Street Pssb Suite 1200, Ucdmc Dept. of Anesthesiology & Pain Medicine, Sacramento, CA 95817-1460 | 2009-05-06 |
| 1811137144 | Marissa Gomez Vadi | Anesthesiology | Patient Support Services Bldg, 4150 V Street, Suite 1200, Sacramento, CA 95817 | 2009-02-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.