DR. THEODORE EDWARD KELBEL (NPI# 1326333444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326333444 |
| Entity Type | Individual |
| Full Name | DR. THEODORE EDWARD KELBEL |
| Credential | M.D. |
| Practice Address |
3271 Clear Vista Ct Ne Grand Rapids MI 49525-9477 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677125 |
| Practice Fax Number | 6162679593 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 4301098634 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301098634 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3271 CLEAR VISTA CT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507788 | Kenneth J Fawcett Jr. | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2005-06-09 |
| 1386097723 | Jaime Swanson | Physician Assistant | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2016-07-21 |
| 1275905481 | Brittany Michele Geerdes | Nurse Practitioner | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2015-10-27 |
| 1295145803 | John Samuel Fleming | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2014-05-05 |
| 1396185534 | Nour Zleik | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-07-02 |
| 1811336506 | Amanda Rudert Holsworth | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-06-17 |
| 1346509692 | Jacqueline Eastman Yam | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2012-05-08 |
| 1669766325 | Nicholas L Hartog | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-05-30 |
| 1881906808 | Spectrum Health Primary Care Partners | Pediatrics | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2010-07-07 |
| 1346480258 | Spectrum Health Primary Care Partners | Nurse Practitioner | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447364237 | Sara J Uekert | Allergy & Immunology | 970 Parchment Dr Se, Suite 203, Grand Rapids, MI 49546-8302 | 2006-08-18 |
| 1306950142 | Christine M Schafer | Allergy & Immunology | 970 Parchment Drive Se, Suite 203, Grand Rapids, MI 49546 | 2006-08-18 |
| 1457371494 | Richard Roy Townley | Allergy & Immunology | 3625 Clyde Park Ave Sw, Suite 1, Grand Rapids, MI 49509-4023 | 2006-07-20 |
| 1518902022 | Allergy & Asthma Care of W Mi PC | Allergy & Immunology | 1179 East Paris Se, Suite 150, Grand Rapids, MI 49546-3680 | 2006-06-18 |
| 1346215563 | Vincent A Dubravec | Allergy & Immunology | 5055 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1075 | 2006-02-21 |
| 1609870526 | Edward Thomas Stern | Allergy & Immunology | 2120 43rd St Se, Ste 700, Grand Rapids, MI 49508-3717 | 2005-06-09 |
| 1811336506 | Amanda Rudert Holsworth | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-06-17 |
| 1346509692 | Jacqueline Eastman Yam | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2012-05-08 |
| 1669766325 | Nicholas L Hartog | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-05-30 |
| 1699084871 | Spectrum Health Primary Care Partners | Allergy & Immunology | 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 | 2010-10-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.