TARA L KELLY (NPI# 1336104488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104488 |
| Entity Type | Individual |
| Full Name | TARA L KELLY |
| Other Name | TARA N LASOVAGE |
| Credential | M.D. |
| Practice Address |
1513 S Main St Chelsea MI 48118-1434 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344759175 |
| Practice Fax Number | 7344750120 |
| Mailing Telephone | 7343270872 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301089323 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144623844 | Tara Marie Kelly | Speech-Language Pathologist | 520 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-08 |
| 1073809992 | Tara Kelly | Counselor | 309 S 7th St Ste A, Adel, IA 50003-1838 | 2011-06-20 |
| 1902411655 | Tara Kelly | Counselor | 548 S 17th St, Harrisburg, PA 17104-2223 | 2020-09-10 |
| 1487272449 | Tara Kelly | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2020-07-07 |
| 1790135903 | Tara Lynn Kelly | Anesthesiology | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2016-06-18 |
| 1770909855 | Tara K. Kelly | Specialist/Technologist | 1605 W Main St, Norristown, PA 19403-3229 | 2014-03-12 |
| 1346505930 | Tara Lynn Kelly | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2012-07-10 |
| 1326300070 | Tara Kelly | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-08 |
| 1558650416 | Tara Leigh Kelly | Student in an Organized Health Care Education/Training Program | 350 E 17th St, 20th Floor, Baird Hall, New York, NY 10003-3805 | 2011-03-31 |
| 1396995163 | Tara M Kelly | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-09-29 |
| Street Address |
1513 S MAIN ST |
| City | CHELSEA |
| State | MI |
| Zip Code | 48118-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639146434 | Chung-ming Heung | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2006-03-01 |
| 1548641517 | Michelle Kasprick | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2015-06-15 |
| 1073717922 | Kristen Upton | Nurse Practitioner | 1513 S Main St, Chelsea, MI 48118-1434 | 2007-06-13 |
| 1720131527 | Siobhan Gorman | Nurse Practitioner | 1513 S Main St, Chelsea, MI 48118-1434 | 2007-01-18 |
| 1619028834 | Dianne Dobos | Nurse Practitioner | 1513 S Main St, Chelsea, MI 48118-1434 | 2007-01-15 |
| 1225185820 | Iha Health Services Corporation | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2007-01-04 |
| 1073695060 | Susanna Lin | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2006-10-19 |
| 1073627782 | Mary Westhoff | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2006-08-18 |
| 1720055213 | John Gardner | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1548731847 | Daniel Mcnerney | Behavior Technician | 107.5 N Main St, Chelsea Mi 48118, MI 48118 | 2018-12-12 |
| 1285177881 | Marla J Field | Counselor | 350 North Main Street, Thriving Minds Family Service, Chelsea, MI 48118 | 2016-11-30 |
| 1093115032 | Elizabeth Spotts | Social Worker | 350 N Main St Ste 220, Chelsea, MI 48118 | 2014-08-27 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1730590985 | Vandan Shah | Dermatology | 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 | 2014-05-09 |
| 1447695952 | James Herbert Botsford | Family Medicine | 201 E. Cedar Lake Dr., Chelsea, MI 48118 | 2013-05-10 |
| 1972864403 | Caroline Nicole Wolfe Wurtzel | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 | 2012-05-31 |
| 1396019766 | Markus Koch | Mechanotherapist | 21390 Waterloo Rd, Chlesea, MI 48118 | 2012-03-02 |
| 1023305810 | Denise Renae Rokke | Occupational Therapist | 801 W Middle St, Chelsea, MI 48118 | 2011-06-30 |
| Find all providers in zip 48118 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667415 | Brittany Johnson Mccullough | Pediatrics | 134 Foothills Pkwy, Chelsea, AL 35043-8179 | 2020-01-03 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1497709513 | Scott Macleod Moore | Pediatrics | 13699 Old Us 12, Chelsea, MI 48118 | 2006-05-22 |
| 1639146434 | Chung-ming Heung | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2006-03-01 |
| 1467433128 | Alexy D Arauz Boudreau | Pediatrics | 151 Everett Avenue, Mgh Chelsea Health Center, Chelsea, MA 02150-1807 | 2005-11-09 |
| 1548641517 | Michelle Kasprick | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2015-06-15 |
| 1073893186 | Kimberly Gayle Montez | Pediatrics | 151 Everett Ave, Chelsea, MA 02150 | 2011-08-19 |
| 1528389764 | Rebecca L Lambert | Pediatrics | 151 Everett Ave, Chelsea Healthcare Center, Chelsea, MA 02150-1807 | 2010-06-22 |
| 1225185820 | Iha Health Services Corporation | Pediatrics | 1513 S Main St, Chelsea, MI 48118-1434 | 2007-01-04 |
| 1447321955 | Pediatric Care of Chelsea, PC | Pediatrics | 13699 Old Us 12, Chelsea, MI 48118 | 2006-11-13 |
| Find all providers in CHELSEA | ||||
Please comment or provide details below to improve the information on TARA L KELLY.
| 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.