ELIZABETH A KELLEY (NPI# 1134105562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134105562 |
| Entity Type | Individual |
| Full Name | ELIZABETH A KELLEY |
| Credential | MD |
| Practice Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Mailing Address |
Po Box 51030 Myrtle Beach SC 29579-0018 |
| Practice Telephone | 8432388660 |
| Mailing Telephone | 8432388660 |
| Enumeration Date | 2005-12-18 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
27426 | SC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0205X |
Radiology Specialization: Radiological Physics |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
27426 | SC | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
27426 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1457768186 | Elizabeth Anne Kelley | Specialist/Technologist | 3913 Doeskin Dr, Apex, NC 27539-8652 | 2014-07-15 |
| 1194914499 | Elizabeth Kathleen Kelley | Licensed Practical Nurse | W4764 Hidden Pine Ln, Shawano, WI 54166-1650 | 2007-10-23 |
| 1306941356 | Elizabeth Kelley | Pharmacist | 5875 Bremo Rd Ste 209, Richmond, VA 23226-1934 | 2006-09-14 |
| 1699309724 | Elizabeth Kelley | Physician Assistant | 1574 Medical Center Pkwy Ste 104, Murfreesboro, TN 37129-3761 | 2020-02-27 |
| 1124670617 | Elizabeth Kelley | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-07-15 |
| 1750879953 | Elizabeth Kelley | Counselor | 1080 N 7th St, San Jose, CA 95112-4425 | 2018-04-24 |
| 1770009193 | Elizabeth Kelley | Student in an Organized Health Care Education/Training Program | 489 Bernardston Rd, Greenfield, MA 01301-1238 | 2017-08-17 |
| 1700261591 | Elizabeth Anne Smith Kelley | Nurse Practitioner | 2214 Gateway Dr, #c, Opelika, AL 36801-1500 | 2015-07-22 |
| 1811305394 | Elizabeth Kelley | Counselor | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2014-07-28 |
| Street Address |
300 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1588275101 | Christina Lauren St Clair | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-08-17 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1023637352 | Tawsif Nadir | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-16 |
| 1427677053 | Bennett Leanna Haskin | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1174142731 | Jae Hyun Shim | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1891314449 | Eric Yunkwen Choi | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1487273017 | Tooba Anum | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1083242960 | Noman Ghiasi | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-27 |
| 1336775154 | Kaila Marnan Robbins | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695771 | Conway Radiology Consultants, LLC | Radiology | 555 Club Lane, Conway, AR 72034-3681 | 2006-06-09 |
| 1487653267 | Stanley Wayne Whitaker | Radiology | 24 Pleasant St, Conway, NH 03818 | 2005-07-14 |
| 1164935839 | Katharine Anne Durham | Radiology | 2302 College Ave, Conway, AR 72034-6297 | 2017-11-15 |
| 1275084188 | Conway Community Services | Radiology | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-10-17 |
| 1871835363 | Ryan Eric Embertson | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2013-03-22 |
| 1154689982 | Brandon Cramer | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526 | 2012-04-30 |
| 1669412672 | James Carlisle Hewitt | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2006-06-07 |
| 1851359350 | Stephen A Oljeski | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2006-05-03 |
| 1952387383 | Gary L Rike | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-12-18 |
| 1447236948 | Noel C Haskins | Radiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-12-16 |
| Find all providers in CONWAY | ||||
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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.