STEPHEN M KELANIC (NPI# 1265451140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265451140 |
| Entity Type | Individual |
| Full Name | STEPHEN M KELANIC |
| Credential | M.D., F.A.C.S. |
| Practice Address |
2040 Ogden Ave Ste 301 Aurora IL 60504-7205 |
| Practice Telephone | 6309786895 |
| Practice Fax Number | 6303752905 |
| Mailing Telephone | 6309786895 |
| Mailing Fax Number | 6303752905 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036099831 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 4506907 | 01 |
| IL | RAIL ROAD MEDICARE | 040017903 | 01 |
| IL | H08942 | 05 |
| Street Address |
2040 OGDEN AVE STE 301 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912926205 | Bryan W Rubach | Otolaryngology | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2006-07-18 |
| 1124163845 | Cathleen Kovanic | Audiologist | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1447576343 | .brook Kim Mcconnell | Otolaryngology | 12631 E 17th Ave Ste B205, Aurora, CO 80045-2527 | 2010-04-16 |
| 1831193572 | Donald R Carter | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2005-06-10 |
| 1245866706 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2020-03-17 |
| 1154957611 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-17 |
| 1073149704 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1300 S Potomac St Ste 122, Aurora, CO 80012-4526 | 2020-03-13 |
| 1497136097 | Matthew Gropler | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-06-09 |
| 1972895845 | Ross Shockley | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-05-10 |
| 1538485701 | Geoffrey Roger Ferril | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-04-13 |
| 1700014875 | Julie Goddard | Otolaryngology | 12631 E 17th Ave, Ms B205, Aurora, CO 80045-2527 | 2009-06-29 |
| Find all providers in AURORA | ||||
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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.