MARK C KELLEY (NPI# 1174622500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622500 |
| Entity Type | Individual |
| Full Name | MARK C KELLEY |
| Credential | MD |
| Practice Address |
3601 The Vanderbilt Clinic Nashville TN 37232-0001 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 6159362000 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
29494 | TN | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD29494 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 Glenwood Drive, Suite W-552, Chattanooga, TN 37404 | 4235513990 | 4235513991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348194 | Mark A. Kelley | Internal Medicine | 6 Kent Ave, Marshfield, MA 02050 | 2006-12-01 |
| 1013313154 | Mark Allen Kelley | Registered Nurse | 1818 Albion St, Nashville, TN 37208-2918 | 2014-11-18 |
| 1003153750 | Mark M Kelley | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-01-14 |
| 1598998858 | Mark Kelley | Physical Therapy Assistant | 394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466 | 2009-09-02 |
| 1760645865 | Mark Kelley | Acupuncturist | 209 E Swallow Rd, Fort Collins, CO 80525-2539 | 2008-07-08 |
| 1902949878 | Mark Andrew Kelley | Marriage & Family Therapist | 405 Westwood Ave, High Point, NC 27262-4325 | 2007-02-14 |
| 1851303978 | Mark A Kelley | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2006-08-13 |
| 1316980113 | Mark Alan Kelley | Psychiatry & Neurology | 1705 E 19th St, Suite 512, Tulsa, OK 74104-5405 | 2006-06-13 |
| 1831130996 | Mark Donald Kelley | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-06-09 |
| 1427004704 | Mark C Kelley | Dermatology | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2006-05-26 |
| Street Address |
3601 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1649879396 | Tiffany Marie Spetz | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-23 |
| 1902403017 | Danielle Farideh Guy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-02 |
| 1497362297 | Madison Miller | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-25 |
| 1528675584 | Sara Catherine Brooks | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5050 | 2020-09-24 |
| 1790391076 | Margaret Eileen Schneider | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-22 |
| 1659987451 | Delaney Jane Boyce | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-17 |
| 1891301636 | Alicia Mattachione | Occupational Therapist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4689 | 2020-09-17 |
| 1093321861 | Bettye Anne Woodard | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0011 | 2020-09-17 |
| 1801400858 | Samantha Rivers Green | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952720849 | Rachel Hunter | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2014-04-08 |
| 1265787550 | Mariana Isabel Chavez | Surgery | 356 24th Ave N Ste 400, Nashville, TN 37203 | 2012-07-23 |
| 1003132077 | Colleen M Kiernan | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-15 |
| 1144477100 | Deepa Ramakumar Magge | Surgery | Vanderbilt Ingram Cancer Center, 1301 Medical Center Drive, Nashville, TN 37232 | 2008-08-21 |
| 1447307301 | Christina Edwards Bailey | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0021 | 2007-01-04 |
| 1144377953 | Rondi Kauffmann | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2007-01-04 |
| 1568549475 | Adrian Scott Pearson | Surgery | 1310 24th Ave S, Nashville, TN 37212-2637 | 2006-11-01 |
| 1306923362 | Joseph Kenneth Jacobs | Surgery | 1310 24th Ave S, Attn: Dr. J. Kenneth Jacobs (surgical Service, Nashville, TN 37212-2637 | 2006-11-01 |
| 1942392352 | Eugene Chambers | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1225120645 | Ingrid Meszoely | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| Find all providers in NASHVILLE | ||||
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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.