COLIN K KELLY (NPI# 1093862088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093862088 |
| Entity Type | Individual |
| Full Name | COLIN K KELLY |
| Other Name | MARY M KELLY |
| Practice Address |
4132 E Morrison Ranch Pkwy Gilbert AZ 85296-3093 |
| Practice Telephone | 8015609613 |
| Mailing Telephone | 8015609613 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 55007 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1265844930 | Colin Michael Kelly | Specialist/Technologist | 140b Peach Ln, West Leechburg, PA 15656-1506 | 2014-05-28 |
| 1215488879 | Colin Kelly | Registered Nurse | 402 S 4th Ave, Yakima, WA 98902-3546 | 2016-10-19 |
| Street Address |
4132 E MORRISON RANCH PKWY |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254040 | Jumpstart Pediatrics LLC | Pediatrics | 2828 S Brett St, Gilbert, AZ 85295-6016 | 2011-12-01 |
| 1033437439 | Southwestern Pediatrics Pllc | Pediatrics | 2730 S Val Vista Dr Ste 161, Gilbert, AZ 85295-1680 | 2010-05-10 |
| 1538484357 | Jaclyn Marie Kepski | Pediatrics | 3921 E Baseline Rd Ste 102, Gilbert, AZ 85234-2730 | 2010-04-05 |
| 1396994273 | Stephen Eric Snesko | Pediatrics | 2630 S. Val Vista Dr., Bldg 12, Suite 167, Gilbert, AZ 85295 | 2008-09-16 |
| 1801816350 | East Valley Pediatrics, Plc | Pediatrics | 3921 E Baseline Rd # 120, Gilbert, AZ 85234-2727 | 2006-07-20 |
| 1205871357 | Amelia J. Santiago | Pediatrics | 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842 | 2006-06-20 |
| 1689633323 | Sonja Raechel Stevenson | Pediatrics | 861 N Higley Rd, Suite B101, Gilbert, AZ 85234-9602 | 2006-03-21 |
| 1972572832 | Ivia Itsa Hess | Pediatrics | 2550 E Guadalupe Rd Ste 115, Gilbert, AZ 85234-5114 | 2006-03-14 |
| 1700859592 | Mark William Deardorff | Pediatrics | 120 S Val Vista Dr, Gilbert, AZ 85296-1370 | 2006-02-10 |
| 1215900063 | Aleta Dasilva | Pediatrics | 3592 S Atherton Blvd Ste 101, Gilbert, AZ 85297-7444 | 2006-02-10 |
| Find all providers in GILBERT | ||||
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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.