CHRISTOPHER B KELLY MD PC (NPI# 1255505111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255505111 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER B KELLY MD PC |
| Practice Address |
1066 N Monroe St Monroe MI 48162-3113 |
| Practice Telephone | 7342436640 |
| Practice Fax Number | 7342436643 |
| Mailing Telephone | 7342436640 |
| Mailing Fax Number | 7342436643 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. CHRISTOPHER B KELLY (OWNER) |
| Authorized Official Telephone | 7342436640 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | CK055724 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2849194 | 05 |
| Street Address |
1066 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477525913 | Murthy S Madhira | Internal Medicine | 1066 N Monroe St, Monroe, MI 48162-3113 | 2006-02-07 |
| 1770043762 | Tammy Leachman Chlebowski | Registered Nurse | 1066 N Monroe St, Monroe, MI 48162-3113 | 2019-03-25 |
| 1144787615 | Rachel Reaume | Nurse Practitioner | 1066 N Monroe St, Monroe, MI 48162-3113 | 2019-02-20 |
| 1285092841 | Catherine Regina Smart | Nurse Practitioner | 1066 N Monroe St, Monroe, MI 48162-3113 | 2016-02-10 |
| 1619396942 | Syed Irfan-ur Rahman | Internal Medicine | 1066 N Monroe St, Monroe, MI 48162-3113 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219058 | Georgia Plastic Surgery & Reconstructive Care, PC | Plastic Surgery | 2151-b W Spring St, Suite 240, Monroe, GA 30655-3115 | 2014-06-06 |
| 1033550611 | Eugene Frederick Worthen | Plastic Surgery | 3504 Forsythe Ave, Monroe, LA 71201-2120 | 2013-07-11 |
| 1124198171 | Timothy J Mickel | Plastic Surgery | 903 N 2nd St, Monroe, LA 71201-5837 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100719 | Nuvantage Wound Care Solutions Pllc | Plastic Surgery | 21717 Rose Hollow Dr, Southfield, MI 48075-5508 | 2018-10-23 |
| 1134614886 | Landmark Surgery Center | Plastic Surgery | 26850 Providence Pkwy Ste 125b, Novi, MI 48374-1253 | 2018-06-26 |
| 1194102467 | Matthew Kenneth Shaheen | Plastic Surgery | 28050 Grand River Ave Ste 518, Farmington Hills, MI 48336-5919 | 2015-05-06 |
| 1649675174 | Executive Plastic Surgery, Pllc | Plastic Surgery | 26850 Providence Pkwy Ste 125, Novi, MI 48374-1253 | 2014-10-27 |
| 1891109971 | John Philip Kelpin Jr. | Plastic Surgery | 221 Michigan St Ne # Mc106, Suite 200a, Grand Rapids, MI 49503-2543 | 2014-06-17 |
| 1891108759 | Jeffrey Thomas Desano II | Plastic Surgery | 31100 Telegraph Rd Ste 280, Bingham Farms, MI 48025 | 2014-06-09 |
| 1518306315 | Sarah M Elswick | Plastic Surgery | 201 W Big Beaver Rd Ste 1130, Troy, MI 48084-5298 | 2013-06-14 |
| 1730527326 | Advanced Plastic Surgery, PC | Plastic Surgery | 4551 Cascade Rd Se, Suite D, Grand Rapids, MI 49546-8372 | 2013-06-05 |
| 1396095568 | Cascade Plastic Surgery Plc | Plastic Surgery | 1514 Fourth St, Jackson, MI 49203-4032 | 2012-09-14 |
| 1013262476 | Ahmet R Karaca Md PC | Plastic Surgery | 101 Townsend St, Birmingham, MI 48009-6001 | 2012-07-20 |
| 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.