MR. ANDREW JOHN KELLY (NPI# 1073625018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073625018 |
| Entity Type | Individual |
| Full Name | MR. ANDREW JOHN KELLY |
| Credential | PA-C |
| Practice Address |
824 Main Street, Suite 100 Phoenixville PA 19460 |
| Practice Telephone | 6109357300 |
| Mailing Telephone | 6109357300 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002419L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992888242 | Andrew Wayne Kelly | Dentist | 5710 W Gate City Blvd, Greensboro, NC 27407-7061 | 2006-10-23 |
| 1316920895 | Andrew P Kelly | Radiology | 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-11-29 |
| 1871593004 | Andrew Edward Kelly | Physical Therapist | 165 N Redwood Dr, San Rafael, CA 94903-1969 | 2005-07-29 |
| 1700348729 | Andrew David Kelly | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-04-01 |
| 1417422171 | Andrew Kelly | Assistant Behavior Analyst | 12505 Starkey Rd Ste J, Largo, FL 33773-2617 | 2018-10-09 |
| 1619467081 | Andrew Kelly | Counselor | 2715 Colonial Dr Ste 200a, Columbia, SC 29203-6818 | 2018-05-11 |
| 1396250981 | Andrew Kelly | Physical Therapist | 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 | 2017-12-05 |
| 1104356377 | Andrew Nicholas Kelly | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2017-06-19 |
| 1831519420 | Andrew Kelly | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Adult Primary Care Brownstone Clinic, Farmington, CT 06032 | 2014-04-22 |
| 1437492949 | Andrew Louis Kelly | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2013-04-03 |
| Street Address |
824 MAIN STREET, SUITE 100 |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074938 | Shayne Aubrey Zaplitny | Physician Assistant | 507 Kimberton Rd, Phoenixville, PA 19460-4745 | 2020-08-18 |
| 1043856859 | Bryan Wai Yong Tang | Physician Assistant | 824 Main St Ste 100, Phoenixville, PA 19460-4478 | 2019-11-27 |
| 1942844816 | Shannon Stenson | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-11-04 |
| 1770124539 | Michael Van Etten | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-10-03 |
| 1972054377 | Iman Shamloul | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2016-10-20 |
| 1891124178 | Victoria Suzanne Martin | Physician Assistant | 450 Cresson Blvd, Suite 110, Phoenixville, PA 19460-6127 | 2013-11-06 |
| 1114278959 | Gabrielle Krekstein | Physician Assistant | 799 Gay St, Phoenixville, PA 19460-4409 | 2012-09-19 |
| 1366762536 | Lindsay R. Anonich | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2010-06-10 |
| 1679764633 | Laura D Brake | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2007-08-06 |
| 1881817708 | Robert E. Hughes | Physician Assistant | 826 Main St, Suite 201, Phoenixville, PA 19460-4459 | 2007-04-10 |
| Find all providers in PHOENIXVILLE | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
Please comment or provide details below to improve the information on MR. ANDREW JOHN 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.