DR. RAYMOND JOSEPH KELLY (NPI# 1356409239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356409239 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND JOSEPH KELLY |
| Credential | M.D. |
| Practice Address |
100 S Ellsworth Ave Suite 301 San Mateo CA 94401-3939 |
| Practice Telephone | 6503442561 |
| Practice Fax Number | 6503442563 |
| Mailing Telephone | 6503442561 |
| Mailing Fax Number | 6503442563 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G 023921 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LISCENSE | G 023921 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038695 | Raymond Joseph Kelly | Physician Assistant | 2200 Northern Blvd Ste 121, East Hills, NY 11548-1220 | 2018-06-28 |
| 1295228633 | Raymond Kelly | Emergency Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-06-11 |
| 1326058181 | Raymond Kelly | Emergency Medicine | 323 Lowell St, Andover, MA 01810 | 2006-08-08 |
| 1235139577 | Raymond K Kelly | Anesthesiology | 1072 Troy Schenectady Rd, Latham, NY 12110-1025 | 2005-07-28 |
| Street Address |
100 S ELLSWORTH AVE SUITE 301 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972558963 | Takeshi Okai | Chiropractor | 100 S Ellsworth Ave, Ste 804, San Mateo, CA 94401-3939 | 2006-05-24 |
| 1306293048 | Rebecca Forrest | Physician Assistant | 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401-3939 | 2016-05-23 |
| 1841634904 | Deborah Postal | Dentist | 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 | 2013-04-19 |
| 1740524602 | Yun - Chih Chen | Audiologist | 100 S Ellsworth Ave, Ste 711, San Mateo, CA 94401-3939 | 2012-11-16 |
| 1417220898 | Sylvie Galerneau | Dentist | 100 S Ellsworth Ave, Suite 601, San Mateo, CA 94401-3939 | 2012-02-16 |
| 1467720722 | Ear, Nose & Throat Medical Associates of The Peninsula, Inc | Otolaryngology | 100 S Ellsworth Ave, Suite 308, San Mateo, CA 94401-3939 | 2011-12-01 |
| 1588958672 | Ru Chen | Student in an Organized Health Care Education/Training Program | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-06-06 |
| 1336432376 | Julia Prieb | Orthotist | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-05-24 |
| 1306144209 | Peninsula Gastrointestinal | Internal Medicine | 100 S Ellsworth Ave, Suite 507, San Mateo, CA 94401-3939 | 2011-03-02 |
| 1427288133 | Steven Machtinger Md & Associates Inc | Allergy & Immunology | 100 S Ellsworth Ave, Suite 700, San Mateo, CA 94401-3939 | 2009-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| 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 |
|---|---|---|---|---|
| 1699792598 | Ear, Nose and Throat Associates of San Mateo County Inc | Otolaryngology | 100 S. Ellsworth Avenue, Suite 308, San Mateo, CA 94401-3931 | 2006-07-16 |
| 1033136916 | Jennifer Bock-hughes | Otolaryngology | 100 S Ellsworth Ave Ste 308, San Mateo, CA 94401-3931 | 2006-07-16 |
| 1902168545 | Sneh Lavingia | Otolaryngology | 100 S Ellsworth Ave Ste 308, San Mateo, CA 94401-3931 | 2012-06-11 |
| 1598953739 | Raymond J Kelly, M.d. Inc | Otolaryngology | 100 S Ellsworth Ave, Suite 301, San Mateo, CA 94401-3939 | 2007-10-12 |
| 1821018771 | Albert Geller | Otolaryngology | 100 S Ellsworth Ave Ste 308, San Mateo, CA 94401-3931 | 2006-07-20 |
| 1427078377 | Terri Chipman | Otolaryngology | 100 S Ellsworth Ave Ste 308, San Mateo, CA 94401-3931 | 2006-07-20 |
| 1386661288 | Christina Laane | Otolaryngology | 100 S Ellsworth Ave Ste 308, San Mateo, CA 94401-3931 | 2006-07-16 |
| 1033180211 | George William Shorago | Otolaryngology | 50 S San Mateo Dr, Suite 320, San Mateo, CA 94401-3857 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.