DR. KELLY ANNE GARRETT (NPI# 1225203664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225203664 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANNE GARRETT |
| Credential | M.D. |
| Practice Address |
1315 York Ave 2nd Floor New York NY 10021-5304 |
| Mailing Address |
525 E 68th St Box 172 New York NY 10065-4870 |
| Practice Telephone | 2127466030 |
| Practice Fax Number | 2127466370 |
| Mailing Telephone | 2127466030 |
| Mailing Fax Number | 2127466370 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 256779 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245251776 | Kelly D Garrett | Clinical Neuropsychologist | 333 South 900 East, Salt Lake City, UT 84102-2310 | 2006-07-21 |
| 1700360948 | Kelly Garrett | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-09-24 |
| 1538612767 | Kelly Garrett | Counselor | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2016-07-23 |
| 1174904973 | Kelly Jean Garrett | Veterinarian | 29 Franklin St, Newburyport, MA 01950-3013 | 2015-06-17 |
| 1487059267 | Kelly Garrett | Registered Nurse | 5954 Longford Rd, Huber Heights, OH 45424-2943 | 2014-10-23 |
| 1366760613 | Kelly Jo Garrett | Radiology Practitioner Assistant | 500 Medical Center Blvd, Radiology, Webster, TX 77598-4220 | 2010-05-11 |
| Street Address |
1315 YORK AVE 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841224094 | Svetoslava Venelinova Bardarova | Physician Assistant | 1315 York Ave, Jill Roberts Ibd Center -weill Cornell Medical College, New York, NY 10021-5304 | 2006-07-11 |
| 1164964680 | Hey Sook Park | Internal Medicine | 1315 York Ave, New York, NY 10021-5304 | 2016-11-15 |
| 1063889392 | Deanna Dong | Nurse Practitioner | 1315 York Ave, Floor 1, New York, NY 10021-5304 | 2015-08-21 |
| 1740665611 | Nahal Niakan | Registered Nurse | 1315 York Ave, New York, NY 10021-5304 | 2015-07-21 |
| 1538550835 | Ariana Whitney Ross | Physician Assistant | 1315 York Ave, Mezzanine Level, New York, NY 10021-5304 | 2015-02-09 |
| 1013331370 | Diemmai Ilustre | Registered Nurse | 1315 York Ave, New York, NY 10021-5304 | 2014-02-06 |
| 1295156586 | Irina Rapoport | Physician Assistant | 1315 York Ave, New York, NY 10021-5304 | 2014-01-03 |
| 1881950939 | Alexandra L Rosenstock | Dietitian, Registered | 1315 York Ave, New York, NY 10021-5304 | 2012-04-03 |
| 1821391541 | Colleen D Webb | Nutritionist | 1315 York Ave, Mezzanine Level, New York, NY 10021-5304 | 2010-12-20 |
| 1144522509 | Katharine Adis | Physician Assistant | 1315 York Ave, Mezzanine, New York, NY 10021-5304 | 2010-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831468966 | Slrhc Faculity Practice | Colon & Rectal Surgery | 425 W 59th St Ste 7b, New York, NY 10019-8022 | 2011-12-19 |
| 1194981506 | Andre Da Luz Moreira | Colon & Rectal Surgery | 530 1st Ave Ste 7v, New York, NY 10016-6402 | 2008-08-05 |
| 1437162120 | Peter J Wilk | Colon & Rectal Surgery | 475 E 72nd St, New York, NY 10021-4458 | 2006-08-14 |
| 1689642704 | Joel J Bauer | Colon & Rectal Surgery | 25 East 69th Street, New York, NY 10021-4925 | 2006-03-14 |
| 1053302067 | Stephen Richard Gorfine | Colon & Rectal Surgery | 68 East 86th Street, New York, NY 10028 | 2005-10-31 |
| 1447880190 | Domingo C. Nunez, M.d., F.a.c.s., Pllc | Colon & Rectal Surgery | 155 E 76th St, New York, NY 10021-2810 | 2020-01-22 |
| 1043670862 | Alan Victor Abrams | Colon & Rectal Surgery | 300 E 77th St, 10d, New York, NY 10075-2450 | 2016-03-07 |
| 1417368903 | Carl Dickler | Colon & Rectal Surgery | 425 W 59th St, New York, NY 10019-8022 | 2014-05-19 |
| 1235573999 | Tianyi Lu | Colon & Rectal Surgery | 5 E 98th St Fl 14, New York, NY 10029 | 2013-04-24 |
| 1053671826 | Parul Jaikrishna Shukla | Colon & Rectal Surgery | 1300 York Ave, K-802e, New York, NY 10065-4805 | 2012-05-25 |
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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.