DR. ROBERT T KELLEY (NPI# 1093126427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093126427 |
| Entity Type | Individual |
| Full Name | DR. ROBERT T KELLEY |
| Credential | D.O. |
| Practice Address |
4650 Signal Tree Dr Ste 1200 Timnath CO 80547-4908 |
| Practice Telephone | 9702377415 |
| Practice Fax Number | 9702377420 |
| Mailing Telephone | 9702377415 |
| Mailing Fax Number | 9702377420 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0055887 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TL0005132 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000175262 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 23rd Ave, Greeley, CO 806346070 | 9703462800 | 9703462774 |
| 1455 Main St Ste 100, Windsor, CO 805505559 | 9706863950 | 9706863960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968240 | Robert Lee Kelley IIi | Occupational Therapist | 615 Brooks Mill Cir, Hermitage, TN 37076-4141 | 2020-09-25 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1255731063 | Robert Kelley | Pharmacist | 4209 192nd Pl Sw, Lynnwood, WA 98036-5633 | 2014-08-28 |
| 1093957334 | Robert Stanislaw Kelley | Student in an Organized Health Care Education/Training Program | 5637 Peachtree Dunwoody Road, Suite 700, Atlanta, GA 30342 | 2009-04-01 |
| 1528250081 | Robert Paul Kelley | Family Medicine | 1123 Richelieu Lane, Houston, TX 77018-2019 | 2007-08-17 |
| 1477697878 | Robert O. Kelley | Counselor | 225 Lee Hook Rd, Lee, NH 03824-6415 | 2007-02-18 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1588777924 | Robert D Kelley | Pharmacist | 38 E Main St, Sylva, NC 28779-3040 | 2006-08-17 |
| 1568936219 | Robert Bruce Kelley Jr. | Counselor | 34 W 2nd St, Ashland, OH 44805-2201 | 2019-01-16 |
| 1457693947 | Robert P Kelley | Counselor | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-03-22 |
| Street Address |
4650 SIGNAL TREE DR STE 1200 |
| City | TIMNATH |
| State | CO |
| Zip Code | 80547-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366417966 | Marilu Orozco-peterson | Family Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2006-02-17 |
| 1356951867 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2020-08-10 |
| 1619361508 | Jessica Marie Altree | Internal Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962892182 | Albert Chen | Pharmacist | 4705 Weitzel St, Timnath, CO 80547 | 2015-01-26 |
| 1467867648 | Costco Wholesale Corporation | Pharmacy | 4705 Weitzel St., Timnath, CO 80547 | 2014-06-25 |
| 1619233913 | Jessica Jeanne Brown | Pediatrics | 4845 Weitzel St Ste 101, Timnath, CO 80547 | 2012-04-11 |
| 1568604551 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 4500 Weitzel Street, Timnath, CO 80547 | 2009-04-06 |
| 1255543179 | Amanda Lynne Harding | Pediatrics | 4650 Signal Tree Dr, Bldg B, Ste 200, Optional, Timnath, CO 80547 | 2007-05-04 |
| 1831670983 | Zzap Pediatrics, LLC | Pediatrics | 4650 Signal Tree Dr, Bldg B, Ste 200, Timnath, CO 80547 | 2018-08-27 |
| 1295125441 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4705 Weitzel St., Timnath, CO 80547 | 2015-01-27 |
| 1275812307 | Andrea Philop | Pharmacist | 4500 Weitzel St, Timnath, CO 80547 | 2011-08-07 |
| 1427459288 | Danielle Renie Street | Dietitian, Registered | 5771 Calgary St, Timnath, CO 80547-2272 | 2014-09-11 |
| 1821127523 | Christian M Korkis Md PC | Obstetrics & Gynecology | 6501 Engh Pl, Timnath, CO 80547-2274 | 2007-03-06 |
| Find all providers in zip 80547 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293720 | Poudre Valley Medical Group, LLC | Family Medicine | 4650 Signal Tree Dr, Timnath, CO 80547-4908 | 2020-07-27 |
| 1366417966 | Marilu Orozco-peterson | Family Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1376140137 | Colorado Physician Partners, Pllc | Family Medicine | 7920 S University Blvd Ste 203, Centennial, CO 80122-5103 | 2020-10-05 |
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1851907489 | Inpatient Services, PC | Family Medicine | 1960 S Fordham St, Longmont, CO 80503-7777 | 2020-09-18 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.