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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 009385100 | 05 |
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 |
Street Address |
6901 SIMMONS LOOP 4TH FLOOR |
City | RIVERVIEW |
State | FL |
Zip Code | 33578-9498 |
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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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 |
Find all providers in zip 33578 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
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. |
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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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.