DR. PETER HAMILTON KELLY (NPI# 1205080850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205080850 |
| Entity Type | Individual |
| Full Name | DR. PETER HAMILTON KELLY |
| Credential | MD |
| Practice Address |
776a Watervliet Shaker Rd Access Health Systems Latham NY 12110 |
| Practice Telephone | 5187822200 |
| Mailing Telephone | 5187822200 |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
135828 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342245 | Peter Isaac Kelly | Technician | 17375 E Adriatic Dr Apt N102, Aurora, CO 80013-4138 | 2018-10-22 |
| 1982869467 | Peter Kelly | Family Medicine | 110 Marter Ave Ste 503, Moorestown, NJ 08057-3120 | 2008-07-23 |
| 1114907458 | Peter F Kelly | Podiatrist | 4106 Electric Rd, Roanoke, VA 24014-2814 | 2006-01-20 |
| 1649271883 | Peter J Kelly | Ophthalmology | 1504 N Main St, Palmer, MA 01069-1215 | 2005-08-10 |
| 1548876154 | Peter Kelly | Occupational Therapist | 313 W County Line Rd, Hatboro, PA 19040-1102 | 2020-09-18 |
| 1730737529 | Peter Kelly | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2019-08-27 |
| 1396390118 | Peter Kelly | Physical Therapist | 940 High St, Westwood, MA 02090-2762 | 2019-08-08 |
| 1649558412 | Peter J Kelly | Dentist | 2520 Us Highway 1 S, St Augustine, FL 32086-6194 | 2011-07-28 |
| 1578853099 | Peter Kelly | Nurse Practitioner | 27005 76th Ave, Oncology Bldg., 3rd Floor, New Hyde Park, NY 11040-1402 | 2011-04-18 |
| 1356557524 | Peter Meagher Kelly | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-05-15 |
| Street Address |
776A WATERVLIET SHAKER RD ACCESS HEALTH SYSTEMS |
| City | LATHAM |
| State | NY |
| Zip Code | 12110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831203991 | Warren Silverman | Internal Medicine | 776a Watervliet Shaker Rd, Latham, NY 12110-2209 | 2006-08-18 |
| 1093965683 | Robert J Beyer | Physician Assistant | 776a Watervliet Shaker Rd, Latham, NY 12110-2209 | 2008-09-19 |
| 1639326853 | Jennifer Lynn Hilligrass | Physician Assistant | 776a Watervliet Shaker Rd, Latham, NY 12110-2209 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588129852 | Steve Lazo | Emergency Medicine | 3210 Greenpoint Ave, Long Island City, NY 11101-2010 | 2019-01-31 |
| 1730667734 | Lagrange Fire District | Emergency Medicine | 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 | 2018-08-01 |
| 1407217631 | Debonotropepamdpc | Emergency Medicine | 24 Charter Ave, Dix Hills, NY 11746-6447 | 2016-03-16 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1356689855 | Medfirst Urgent Care, Pllc | Emergency Medicine | 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 | 2013-01-18 |
| 1821341744 | Stat Medical Usa | Emergency Medicine | 1943 Vincent Ln, Syosset, NY 11791-9629 | 2012-10-16 |
| 1104132190 | Kildare Clarke | Emergency Medicine | 6 Hazelton Dr, White Plains, NY 10605-3805 | 2010-08-27 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1497076806 | Jose Luis Romero | Emergency Medicine | 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 | 2010-06-21 |
| 1619109121 | Matthew J. Krauthamer | Emergency Medicine | 16 Capri Ct, Dix Hills, NY 11746-6410 | 2009-08-17 |
| Find all providers with the same taxonomy | ||||
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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.