CHRISTOPHER TRAVIS KELLY (NPI# 1164838900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164838900 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER TRAVIS KELLY |
| Credential | PA-C |
| Practice Address |
2155 City Gate Ln Suite 225 Naperville IL 60563-7733 |
| Practice Telephone | 6305475040 |
| Practice Fax Number | 6303050094 |
| Mailing Telephone | 6305475040 |
| Mailing Fax Number | 6303050094 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.005054 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023857 | Christopher Kelly | Counselor | 630 Park St Apt B, Charlottesville, VA 22902-4642 | 2016-02-16 |
| 1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
| 1093136558 | Christopher Kelly | Pharmacist | 4275 Summers Place Dr, Olive Branch, MS 38654-7284 | 2013-12-30 |
| 1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
| 1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
| 1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
| Street Address |
2155 CITY GATE LN SUITE 225 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-7733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891710901 | Laura Collins | Nurse Practitioner | 2155 City Gate Ln, 225, Naperville, IL 60563-7733 | 2006-07-12 |
| 1386069607 | Cara Bushemi Essling | Physician Assistant | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7733 | 2014-02-24 |
| 1720336118 | Brandice Marie Brazell | Physician Assistant | 2155 City Gate Ln, #225, Naperville, IL 60563-7733 | 2012-08-16 |
| 1831498401 | Shraddha Desai | Dermatology | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7733 | 2011-03-22 |
| 1861790362 | Eugen Catalin Minca | Pathology | 2155 City Gate Ln, Naperville, IL 60563-7733 | 2011-03-07 |
| 1437484367 | Meghan Bramer | Physician Assistant | 2155 City Gate Ln, 225, Naperville, IL 60563-7733 | 2009-10-09 |
| 1912195058 | Christopher Robert Arico | Physician Assistant | 2155 City Gate Ln, Naperville, IL 60563-7733 | 2007-10-12 |
| 1841418035 | Sheetal Mehta | Dermatology | 2155 City Gate Ln, Naperville, IL 60563-7733 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557770 | Brian Sautter | Physician Assistant | 1125 Wishing Well Ln, Naperville, IL 60564-8782 | 2020-07-31 |
| 1962026955 | Bridgette Lynn Caquatto | Physician Assistant | 1847 Cranshire Ln, Naperville, IL 60565-6749 | 2020-06-04 |
| 1588288286 | Megan O'hara | Physician Assistant | 416 E Chicago Ave, Naperville, IL 60540-5408 | 2020-05-29 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1649831371 | Margaret Grace Rancich | Physician Assistant | 6s651 Millcreek Ln, Naperville, IL 60540-5919 | 2019-06-24 |
| 1467010884 | Madeline Simon | Physician Assistant | 1720 Frost Ln, Naperville, IL 60564-5165 | 2019-05-31 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| 1699259036 | Meraj Baig | Physician Assistant | 1952 Mcdowell Rd #305, Naperville, IL 60563 | 2018-09-21 |
| 1144718644 | Naperville Health Center, LLC | Physician Assistant | 3416 S Route 59 Ste 108, Naperville, IL 60564-8147 | 2018-04-30 |
| 1063919348 | Aiman Khan | Physician Assistant | 636 Raymond Dr Ste 107, Naperville, IL 60563-9789 | 2018-04-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.