MARYBETH S KELLY (NPI# 1235139130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235139130 |
| Entity Type | Individual |
| Full Name | MARYBETH S KELLY |
| Other Name | MS. MARYBETH S MARKHAM |
| Credential | PAC |
| Practice Address |
75 Springfield Rd Suite 1 Family Medicine Assoc Westfield MA 01085 |
| Practice Telephone | 4135625173 |
| Practice Fax Number | 4135621716 |
| Mailing Telephone | 4135625173 |
| Mailing Fax Number | 4135621716 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1150 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CONNECTICARE OF MA | 011500 | 01 | |
| BEECH STREET | 21237210422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367705 | Marybeth Kelly | Social Worker | 3517 Dechart Ln, Raleigh, NC 27616-8791 | 2007-04-23 |
| Street Address |
75 SPRINGFIELD RD SUITE 1 FAMILY MEDICINE ASSOC |
| City | WESTFIELD |
| State | MA |
| Zip Code | 01085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235275 | Dg Physical Therapy, P.C. | Clinic/Center | 75 Springfield Rd, Suite 9, 2nd Floor, Westfield, MA 01085 | 2019-09-25 |
| 1588030548 | Steven Vien | Physical Therapist | 75 Springfield Rd, Westfield, MA 01085-1790 | 2015-08-13 |
| 1447676739 | L Willis Roberts Md General Surgery LLC | Specialist | 75 Springfield Rd, Suite 3, Westfield, MA 01085-1790 | 2014-03-11 |
| 1487906988 | Svetlana Puzankov | Physician Assistant | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1790 | 2012-10-08 |
| 1396024246 | Alexis Gorman | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1790 | 2011-08-10 |
| 1023153640 | Family Medicine Associates | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2007-02-21 |
| 1851405914 | Theodore John Krawiec | Ophthalmology | 75 Springfield Rd, Suite 4, Westfield, MA 01085 | 2006-08-18 |
| 1215989876 | Lance David Reynolds | Internal Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-16 |
| 1477504421 | Gloria Lorraine Stewart | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
| 1326099094 | George E Reynolds | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371950 | Gaetana Maria Aliotta | Social Worker | 164 Loomis Ridge, Westfield, MA 01085 | 2018-09-25 |
| 1437631363 | Jill Colleen Adams | Social Worker | 985 Granville Road, Westfield, MA 01085 | 2018-09-06 |
| 1447778691 | Emily Marie Badger | Counselor | 555 Russell Rd, Westfield, MA 01085 | 2017-09-07 |
| 1508381385 | Erin Humphrey | Assistant Behavior Analyst | 98 West Silver Street, Westfield, MA 01085 | 2017-08-14 |
| 1871954263 | Jamie Lynn Thomas | Developmental Therapist | 209 Root Road, Westfield, MA 01085 | 2016-03-11 |
| 1093064412 | Health Imperatives, Inc. | Clinic/Center | 51 East Mountain Road, Westfield, MA 01085 | 2012-08-30 |
| 1588956767 | Ruth A Norman | Social Worker | 1029 North Rd Ste 22, Westfield, MA 01085 | 2011-05-06 |
| 1881904449 | Community Physicians PC | Counselor | 125 North Elm Street, Westfield, MA 01085 | 2010-10-18 |
| 1952624165 | Heather Ann Siswick | Social Worker | 77 Mill Street, Westfield, MA 01085 | 2010-03-03 |
| 1659606531 | Corbett Consulting LLC | Home Health | 57 Franklin Street, Westfield, MA 01085 | 2009-10-09 |
| Find all providers in zip 01085 | ||||
| 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 |
|---|---|---|---|---|
| 1699399154 | Frazier Thompson Ashburn | Physician Assistant | 26 Raymond Cir, Westfield, MA 01085-4587 | 2020-06-01 |
| 1265099485 | Jenna Rae Miller | Physician Assistant | 176 Susan Dr, Westfield, MA 01085-1435 | 2019-05-22 |
| 1720487705 | Krista Irwin | Physician Assistant | 16959 Kingsbridge Blvd, Westfield, IN 46074-7800 | 2014-08-15 |
| 1457772899 | April Springer | Physician Assistant | 400 Topping Hill Rd, Westfield, NJ 07090-2332 | 2014-01-03 |
| 1225479975 | Frank R Giannelli IIi | Physician Assistant | 447 Longfellow Ave, Westfield, NJ 07090-4333 | 2013-07-10 |
| 1699026658 | Ryan Mayle | Physician Assistant | 138 East Main St., Westfield Family Physicians, Westfield, NY 14787 | 2012-09-30 |
| 1487833117 | Sarah Michelle Cook | Physician Assistant | 138 East Main St, Westfield, NY 14787 | 2007-10-30 |
| 1821658022 | Nicholas Fielding | Physician Assistant | 115 W Silver St, Westfield, MA 01085-3678 | 2019-06-19 |
| 1255856902 | Nicole Mary Megazzini | Physician Assistant | 57 Union St Ste 101, Westfield, MA 01085-4224 | 2017-08-03 |
| 1275704801 | Rachel Cittone | Physician Assistant | 240 E Grove St, Westfield, NJ 07090-1687 | 2008-03-24 |
| Find all providers in WESTFIELD | ||||
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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.