CARMEL M KELLY (NPI# 1164416228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416228 |
| Entity Type | Individual |
| Full Name | CARMEL M KELLY |
| Credential | MD |
| Practice Address |
1093 N Main St Randolph MA 02368-2100 |
| Practice Telephone | 7819630676 |
| Practice Fax Number | 7819637417 |
| Mailing Telephone | 7819630676 |
| Mailing Fax Number | 7819637417 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 57521 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HEALTH PLAN | 3567516 | 01 | |
| HARVARD PILGRIM | 64506 | 01 | |
| BEECH STREET | 21003084366 | 01 | |
| BLUE CROSS INDEMNITY | J06362 | 01 | |
| EVERCARE | 0100052 | 01 | |
| MA | 3022447 | 05 | |
| UNICARE | 043243146 | 01 | |
| BLUE CROSS INDEMNITY | M15986 | 01 | |
| HARVARD PILGRIM | 043243146 | 01 | |
| HCVM | 043243146 | 01 | |
| CIGNA | 7134757002 | 01 | |
| BLUE CARE ELECT | J06362 | 01 | |
| HMO BLUE | J06362 | 01 | |
| NE | UNITED HLTHCARE OF NE | 0100918 | 01 |
| GREAT WEST HEALTHCARE | 043243146 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043629538 | Carmel Kelly | Social Worker | 791 Chambers Rd, Suite 411f, Aurora, CO 80011-7112 | 2014-08-08 |
| Street Address |
1093 N MAIN ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922187822 | Harry M Berg | Social Worker | 1093 N Main St, Randolph, MA 02368-2100 | 2006-11-03 |
| 1578644530 | Kathleen Taylor Putney | Social Worker | 1093 N Main St, Randolph, MA 02368-2100 | 2006-10-18 |
| 1235140641 | Sharri Trilling | Dentist | 1093 N Main St, Randolph, MA 02368-2100 | 2006-08-10 |
| 1437136470 | Guy Sapirstein | Psychologist | 1093 N Main St, Randolph, MA 02368 | 2005-12-30 |
| 1588641641 | Dean Solomon | Psychiatry & Neurology | 1093 N Main St, Randolph, MA 02368-2100 | 2005-12-29 |
| 1588640585 | Daniel Kane | Social Worker | 1093 N Main St, Randolph, MA 02368 | 2005-12-21 |
| 1639155013 | Gary M Warstadt | Psychiatry & Neurology | 1093 N Main St, Randolph, MA 02368 | 2005-12-19 |
| 1184600561 | Sean Stetson | Psychiatry & Neurology | 1093 N Main St, Randolph, MA 02368-2100 | 2005-12-19 |
| 1629054002 | Amy S Kavadlo | Social Worker | 1093 N Main St, Randolph, MA 02368-2100 | 2005-12-19 |
| 1528044906 | Joyce Ruderman | Social Worker | 1093 N Main St, Randolph, MA 02368 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1265808265 | Nicole Alexis Lopez | Family Medicine | 32 S Main St Ste 100, Randolph, MA 02368-4835 | 2015-08-13 |
| 1942596358 | Gary S. Safier Do, PC | Family Medicine | 477 Route 10 E Ste 204, Randolph, NJ 07869-2144 | 2011-06-23 |
| 1346331717 | Susan M Palmer | Family Medicine | 714 Route 10 W, Randolph, NJ 07869-2058 | 2006-09-28 |
| 1558478529 | Gary S Safier | Family Medicine | 477 Rt 10 E, St 204, Randolph, NJ 07869 | 2006-08-24 |
| 1336102169 | Melissa Elaine Lucarelli | Family Medicine | 504 S High Street, Randolph, WI 53956 | 2006-04-11 |
| 1538666946 | Mw Wellness Vii, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1609271493 | Dora Leibu | Family Medicine | 477 Route 10 E, Randolph, NJ 07869-2142 | 2014-10-23 |
| 1750559340 | Family Medicine Associates of Randolph LLC | Family Medicine | 121 Center Grove Rd, Suite 5, Randolph, NJ 07869-4453 | 2008-02-15 |
| Find all providers in RANDOLPH | ||||
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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.