ROBERT E. KELLY JR. (NPI# 1396752838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396752838 |
| Entity Type | Individual |
| Full Name | ROBERT E. KELLY JR. |
| Credential | M.D. |
| Practice Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Mailing Address |
Po Box 741593 Childrens Surgical Specialty Group Inc Atlanta GA 30374-1593 |
| Practice Telephone | 7576687703 |
| Practice Fax Number | 7576688860 |
| Mailing Telephone | 7576687703 |
| Mailing Fax Number | 7576688860 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
0101050898 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006732861 | 05 | |
| VA | OPTIMA/SENTARA HEALTH | 15404 | 01 |
| VA | NORTH CAROLINA MEDICAID | 8906998 | 01 |
| VA | NC HEALTH CHOICE | 311610834 | 01 |
| NC | 8906998 | 05 | |
| VA | MAMSI/OPTIMUM CHOICE | 321883 | 01 |
| VA | ANTHEM BCBS | 265055 | 01 |
| VA | CIGNA | 3116108340002E | 01 |
| VA | ALLIANCE/MDIPA | 321883 | 01 |
| VA | AETNA | 4480859 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1922375310 | Robert R. Kelly | Pediatrics | 110 Poncha Ave, Alamosa, CO 81101-2160 | 2011-11-29 |
| 1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
| 1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
| 1902029291 | Robert J Kelly | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2007-04-11 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
| Street Address |
601 CHILDRENS LN |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812835 | Peter M Dozier | Psychiatry & Neurology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2005-06-27 |
| 1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
| 1538767066 | Victoria M Cartagena | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-16 |
| 1922624790 | Kelsey Marie Stroud | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-06-17 |
| 1932722626 | Amanda Petroski | Specialist/Technologist, Other | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-28 |
| 1659994614 | Dominique A. Watt | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-05-26 |
| 1336762749 | Christopher Michael Spencer | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-20 |
| 1720608599 | Caitlin Dorman | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-04-22 |
| 1093335382 | Emilie Marie Heidel | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-16 |
| 1700405107 | Erin Kelley Swartz | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248947 | Children's Surgical Specialty Group, Inc | Surgery | 171 Kempsville Rd, Suite 201, Norfolk, VA 23502-4700 | 2006-08-04 |
| 1104832542 | Robert J. Obermeyer | Surgery | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-07-31 |
| 1699789040 | Donald Nuss | Surgery | 601 Childrens Ln, Suite 5b, Norfolk, VA 23507-1910 | 2006-07-28 |
| 1023022795 | Marcia Ann Kuhn | Surgery | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-07-28 |
| 1427062207 | Samuel M. Mahaffey | Surgery | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063196 | Madeleine Holden Snidow | Surgery | 3760 Reeds Landing Cir, Midlothian, VA 23113-1369 | 2020-11-02 |
| 1649884719 | Amal Y Elkhatib | Surgery | 2914 Myrtlewood Dr, Dumfries, VA 22026-2202 | 2020-09-04 |
| 1306074323 | Iljana Marjorie Gaffar | Surgery | 2730 Prosperity Ave Ste C, Fairfax, VA 22031 | 2009-06-29 |
| 1215926332 | Richmond Pediatric Surgeons LLC | Surgery | 7115 Jahnke Rd, Richmond, VA 23225-4017 | 2005-10-20 |
| 1811275407 | Bharath Dwaraka Nath | Surgery | 2730 Prosperity Ave Ste C, Fairfax, VA 22031 | 2011-07-29 |
| 1811160971 | Daniel E. Levin | Surgery | 1204 W Main St, Charlottesville, VA 22903-2824 | 2008-04-10 |
| 1700088242 | Fairfax Neonatal Associates, PC | Surgery | 2730 Prosperity Ave, Ste C, Fairfax, VA 22031-4329 | 2007-06-05 |
| 1700095916 | Joseph Edmond Hartwich | Surgery | 2730 Prosperity Ave Ste B, Fairfax Neonatal Associates, Fairfax, VA 22031-4324 | 2007-05-22 |
| 1629192836 | Laura Anne Boomer | Surgery | 1250 E Marshall St, Richmond, VA 23298-5051 | 2007-03-16 |
| 1063546869 | Bradley M. Rodgers | Surgery | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-15 |
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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.