ADAM ROSARIO KELLEY (NPI# 1225529720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225529720 |
Entity Type | Individual |
Full Name | ADAM ROSARIO KELLEY |
Practice Address |
2604 S Main Rd Lebanon OR 97355-2338 |
Practice Telephone | 5415701728 |
Practice Fax Number | 5414054020 |
Mailing Telephone | 5415701728 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
619337-93 | OR | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534268 | Adam Kelley | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-10-02 |
1053623918 | Adam Christopher Kelley | Pharmacist | 5751 Beach Blvd, Jacksonville, FL 32207-5163 | 2010-07-08 |
Street Address |
2604 S MAIN RD |
City | LEBANON |
State | OR |
Zip Code | 97355-2338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619468907 | Advanced Imaging LLC | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
Find all providers in zip 97355 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619468907 | Advanced Imaging LLC | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-23 |
1912940651 | Lebanon Mri Associates, Ltd | Clinic/Center | 4th and Walnut Streets, Lebanon, PA 17042 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033211867 | Medford Open Imaging, LLC | Clinic/Center | 1174 Progress Dr, Suite 101, Medford, OR 97504-4994 | 2006-09-02 |
1700833472 | Siskiyou Imaging,llc | Clinic/Center | 278 Maple St, Ashland, OR 97520-1552 | 2006-05-28 |
1801841267 | Willamette Valley Imaging, LLC | Clinic/Center | 3003 N Delta Hwy, Suite 303, Eugene, OR 97408-7104 | 2006-05-24 |
1669037982 | Safe Harbor Medical Incorporated | Clinic/Center | 1026 Nw Sleret Ave, Gresham, OR 97030-5504 | 2019-05-02 |
1275655755 | Medford Open Mri, LLC | Clinic/Center | 555 5th St, Suite 3, Brookings, OR 97415-9702 | 2007-04-04 |
1417098252 | Samaritan Open Mri LLC | Clinic/Center | 400 Nw Hickory Street, Albany, OR 97321-1700 | 2007-02-12 |
1831285501 | Columbia Pacific Imaging, Inc | Clinic/Center | 2055 Exchange St Ste 170, Astoria, OR 97103-3419 | 2006-10-04 |
1558309914 | Hull Imaging LLC | Clinic/Center | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-06-04 |
1487609426 | M. R . Imaging Associates Limited Partnership | Clinic/Center | 960 N 16th St, Suite 10, Springfield, OR 97477-4175 | 2006-05-24 |
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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.