DOUGLAS JOHN KELLEY (NPI# 1306108428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306108428 |
Entity Type | Individual |
Full Name | DOUGLAS JOHN KELLEY |
Credential | D.O. |
Practice Address |
5450 Fort St Trenton MI 48183-4601 |
Mailing Address |
3872 Longmeadow Dr Trenton MI 48183-3912 |
Practice Telephone | 7346713297 |
Mailing Telephone | 7348187673 |
Enumeration Date | 2012-06-14 |
Last Update Date | 2015-08-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 5101020104 | MI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101020104 | MI | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033376090 | Douglas Edward Kelley | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2008-05-19 |
1285654509 | Douglas M Kelley | Anesthesiology | 3508 22nd Pl, Lubbock, TX 79410-1316 | 2006-07-20 |
1962498345 | Douglas James Kelley | Optometrist | 308 S New York Rd Unit D, Galloway, NJ 08205-9650 | 2005-09-21 |
1427303189 | Douglas Farrell Kelley | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2012-07-18 |
Street Address |
5450 FORT ST |
City | TRENTON |
State | MI |
Zip Code | 48183-4601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457354524 | Craig Eugene Dunn | Nurse Anesthetist, Certified Registered | 5450 Fort St, Trenton, MI 48183-4601 | 2005-05-23 |
1053937995 | Ian Zachary Lewis | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-16 |
1467077644 | Ramsha Samra | Podiatrist | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-12 |
1154946549 | Stefan Nicholas Papandreou | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-11 |
1720602378 | Cathryn Ann Rudawsky | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-29 |
1790308559 | Saad Habib | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-27 |
1740803154 | Hasan Aoun | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-20 |
1770105066 | Hunter L Hays | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-11 |
1841812203 | Manjot Sodhi | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-08 |
1104447671 | Paige E Spagna | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
Find all providers in zip 48183 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760685713 | Branden Christodoulos | Emergency Medicine | Oakwood Southshore Medical Center, 5450 Fort Street, Trenton, MI 48183 | 2007-06-07 |
1932128766 | Patricia B Meisner | Emergency Medicine | 466 Bellevue Ave., Capital Health System Mercer Campus, Trenton, NJ 08618-4502 | 2006-07-19 |
1417982588 | Jeffrey Couturier | Emergency Medicine | 5450 Fort Street, Emergency Medicine Department, Trenton, MI 48183-4601 | 2006-07-11 |
1669409306 | Mark P. Krivoshik | Emergency Medicine | 601 Hamilton Avenue, Trenton, NJ 08629-0000 | 2006-06-27 |
1629024526 | Guillermo Garcia | Emergency Medicine | Helene Fuld Medical Center (emergency Department), 750 Brunswick Avenue, Trenton, NJ 08638 | 2006-05-25 |
1851915649 | Matthew M Rydlewski Jr. | Emergency Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-06-08 |
1992326250 | Stephen Mckinney | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-04-28 |
1073134409 | Bruce Richard Bosman | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-04-27 |
1265052096 | Ahmad Ali Al-jamal | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-04-22 |
1134749997 | Ali Belal Abdallah | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-04-22 |
Find all providers in TRENTON |
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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.