SHANNON MCCLURE KELLY (NPI# 1053491787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053491787 |
| Entity Type | Individual |
| Full Name | SHANNON MCCLURE KELLY |
| Credential | MD |
| Practice Address |
111 Michigan Ave Nw Orthopaedic Surgery Washington DC 20010-2978 |
| Mailing Address |
111 Michigan Ave Nw Washington DC 20010-2978 |
| Practice Telephone | 2024764063 |
| Practice Fax Number | 2024764613 |
| Mailing Telephone | 2024764063 |
| Mailing Fax Number | 2024764613 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
MD034912 | DC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751262 | Shannon Kathleen Kelly | Physician Assistant | 5800 Central Gardens Way Apt 204, Palm Beach Gardens, FL 33418-4125 | 2019-07-06 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1578991790 | Shannon Kelly | Pharmacist | 2792 Lea Lake Rd, Blaine, TN 37709-5214 | 2013-10-25 |
| 1144483421 | Shannon Elizabeth Kelly | Counselor | 115 E Costilla St, Colorado Springs, CO 80903-2101 | 2008-07-07 |
| 1457313330 | Shannon Kelly | Psychologist | 6001 Brick Ct, Suite 201, Winter Park, FL 32792-9425 | 2006-04-05 |
| 1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
| 1366929747 | Shannon Kelly | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2018-07-27 |
| 1679084172 | Shannon Marie Kelly | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-24 |
| 1508306309 | Shannon Kelly | Physician Assistant | 159 E 74th St, Second Floor, New York, NY 10021-3235 | 2017-02-28 |
| 1821535741 | Shannon Kelly | Occupational Therapist | 6960 Destiny Dr Ste 112, Rocklin, CA 95677-2995 | 2017-01-30 |
| Street Address |
111 MICHIGAN AVE NW ORTHOPAEDIC SURGERY |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809197 | Jeffrey S Dome | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2005-05-23 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1740881127 | Imtinan Mohammed Barnawi | Student in an Organized Health Care Education/Training Program | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1922609312 | Madison Gogol | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1932700291 | Kimberly Ann Wood | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1376150599 | Alexandra Gervais | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-30 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1093321317 | Melissa Renee Dvorsky | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-22 |
| 1538775515 | Temitope Ajayi | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141008 | Douglas Kehl | Orthopaedic Surgery | 825 W South Links Dr, Washington, UT 84780-8524 | 2017-01-26 |
| 1609297894 | Indranil Kushare | Orthopaedic Surgery | 111 Michigan Ave Nw, Apt. 514, Washington, DC 20010-2916 | 2013-12-15 |
| 1497922587 | L. Kaleb Friend | Orthopaedic Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2008-05-08 |
| 1639344088 | Megan Lynne Young | Orthopaedic Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2008-04-28 |
| 1982881785 | Matthew Evan Oetgen | Orthopaedic Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2008-01-24 |
| 1801986278 | Laura Tosi | Orthopaedic Surgery | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-13 |
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on SHANNON MCCLURE KELLY.
| 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.