KELLY DAVID GAGE (NPI# 1356324370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356324370 |
| Entity Type | Individual |
| Full Name | KELLY DAVID GAGE |
| Credential | M.D. |
| Practice Address |
618 Hospital Road Riverside Tappahannock Hospital Tappahannock VA 22560-5000 |
| Mailing Address |
Po Box 12087 Penninsula Radiological Associates Newport News VA 23612-2087 |
| Practice Telephone | 8044436044 |
| Practice Fax Number | 7578677547 |
| Mailing Telephone | 7578676101 |
| Mailing Fax Number | 7578677547 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101242665 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01053434A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1356324370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710930219 | Kelly D Gage | Internal Medicine | 3844 S Lindbergh Blvd., Suite 160, St. Louis, MO 63127 | 2006-05-18 |
| Street Address |
618 HOSPITAL ROAD RIVERSIDE TAPPAHANNOCK HOSPITAL |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| Find all providers in zip 22560 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508911090 | Sharon Outten | Radiology | 618 Hospital Rd, Tappahannock Hospital, Tappahannock, VA 22560-5000 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
| 1851816680 | Washington Radiology Associates, Pllc | Radiology | 1005 N Glebe Rd Ste 110, Arlington, VA 22201-4751 | 2017-08-14 |
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1740692581 | Charles Manetz | Radiology | 14107 Mortemer Rd, Midlothian, VA 23113-6060 | 2014-05-28 |
| 1821338153 | Minutemen Radiology Inc | Radiology | 4551 Jefferson Pointe Ln, Suite # 5 ., Prince George, VA 23875-1478 | 2013-02-23 |
| 1154673713 | Waleed Ibrahim | Radiology | 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 | 2012-10-08 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
Please comment or provide details below to improve the information on KELLY DAVID GAGE.
| 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.