DR. KELLY ENNIX KING


Address: 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498
Phone: 8133028388

DR. KELLY ENNIX KING (NPI# 1114998606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114998606
Entity Type Individual
Full Name DR. KELLY ENNIX KING
Other Name DR. KELLY SHERWOOD ENNIX
Credential MD
Practice Address 6901 Simmons Loop
4th Floor
Riverview
FL 33578-9498
Mailing Address Po Box 10744
Clearwater
FL 33757-8744
Practice Telephone 8133028388
Practice Fax Number 8133028453
Mailing Telephone 7275321355
Mailing Fax Number 7272664943
Enumeration Date 2006-02-01
Last Update Date 2016-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine ME116572 FL Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist ME116572 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 009385100 05

Other Providers KELLY KING

NPI Name Taxonomy Address Enumeration
1992362305 Kelly Knepper King Physician Assistant 1490 Williamsboro St, Oxford, NC 27565-3498 2019-05-21
1023302718 Kelly King Physical Therapy Assistant 2116 Sweet Gum Dr, Jonesboro, AR 72401-3603 2011-05-31
1801122403 Kelly B King Physical Therapist 406 Cook Ct, Hopkinsville, KY 42240-8714 2009-11-02
1235327883 Kelly Marie King Physician Assistant 13013 Sw Caddy Pl, Tigard, OR 97223-2892 2007-10-09
1558469106 Kelly King Internal Medicine 751 Horizon Ct, Suite 202, Grand Junction, CO 81506-8733 2006-09-20
1699709204 Kelly L King Physical Therapist 309 Highway 641 N, Camden, TN 38320-3011 2006-07-10
1659355410 Kelly Ann King Internal Medicine 1835 Oddie Blvd, Sparks, NV 89431-3559 2005-12-05
1063049062 Kelly King Student in an Organized Health Care Education/Training Program 272 Congress St, Portland, ME 04101-3637 2020-03-27
1811527823 Kelly King Behavioral Analyst 1000 Plantation Rd Ste D, Thibodaux, LA 70301-4264 2020-01-17
1154981496 Kelly King Nurse Practitioner 35 Memorial Dr, Pinehurst, NC 28374-8708 2019-06-18

Office Location

Street Address 6901 SIMMONS LOOP
4TH FLOOR
City RIVERVIEW
State FL
Zip Code 33578-9498

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922626316 Chanin Williams Nurse Practitioner 6901 Simmons Loop, Riverview, FL 33578-9498 2020-07-11
1659998672 Sheena Patel Anesthesiologist Assistant 6901 Simmons Loop, Riverview, FL 33578-9498 2020-06-26
1598395279 Mechele Sanders Nurse Practitioner 6901 Simmons Loop, Riverview, FL 33578-9498 2020-01-22
1467094425 Observation Medical Group LLC Emergency Medicine 6901 Simmons Loop, Riverview, FL 33578-9498 2019-10-11
1083264386 Carmen Valdez Nurse Practitioner 6901 Simmons Loop, Riverview, FL 33578-9498 2019-09-18
1194371005 Austin Traver Anesthesiologist Assistant 6901 Simmons Loop, Riverview, FL 33578-9498 2019-08-15
1164084273 Nathan William Paluch Anesthesiologist Assistant 6901 Simmons Loop, Riverview, FL 33578-9498 2019-06-28
1023585932 Kimberly Havers Nurse Practitioner 6901 Simmons Loop, Riverview, FL 33578-9498 2018-10-29
1609379254 Cathy A Fox Dietitian, Registered 6901 Simmons Loop, Riverview, FL 33578-9498 2018-03-09
1962913699 Pamela J Arroyo Registered Nurse 6901 Simmons Loop, Riverview, FL 33578-9498 2017-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598371015 Carnegie Cares Home Care & Services LLC In Home Supportive Care 1004 Rose Petal Place, Riverview, FL 33578 2020-09-21
1437762697 Learn 2 Speak LLC Specialist/Technologist 10310 Granada Green Court, Riverview, FL 33578 2020-08-27
1073138012 Limitless Therapy, LLC. Physical Therapist 8637 Turnstone Shore Lane, Riverview, FL 33578 2020-06-16
1366078032 Cora Health Services, Inc. Clinic/Center 11420 Us Hwy 301 S, Riverview, FL 33578 2020-03-13
1821628561 Devin Jorge Santiago Psychiatry & Neurology 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 2020-01-22
1154963759 Kenneshia M Martin Physical Therapy Assistant 13135 Early Run Lane, Riverview, FL 33578 2019-10-15
1376015180 Dentists of Riverview, Pa Dentist 13123 S. Us Hwy 301, Riverview, FL 33578 2018-12-19
1285102152 Nothing About You Without You, LLC Case Management 10428 Yellow Spice Ct, Riverview, FL 33578 2018-11-08
1053887521 Natasha Dickens Counselor 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 2018-10-22
1376025965 Helaina Dollins Specialist/Technologist 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 2018-08-30
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053927632 Leonor Balart Hospitalist 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 2020-09-19
1114484813 Best Medical LLC Hospitalist 11604 Orange Palm Way, Tampa, FL 33626-4746 2019-02-28
1053878157 Hospitalists One, LLC Hospitalist 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 2019-02-25
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1538652979 Geobel Buchillon Hospitalist 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 2018-06-11
1619469483 Hospitalis10 Inc Hospitalist 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 2018-06-06
1013404706 Florida Medical Professionals LLC Hospitalist St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 2018-04-18
1467965947 Acure Medical Group Corp Hospitalist 1261 Sw 153rd Path, Miami, FL 33194-2678 2017-11-07
1760992317 Casey Miller Hospitalist 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 2017-10-10
1720598741 Gabrielle Mount Borrero Hospitalist 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 2017-10-04
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Competitor

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City RIVERVIEW
Zip Code 33578

Improve Information

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Dataset Information

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.

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