JON A KELLY (NPI# 1396761268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396761268 |
| Entity Type | Individual |
| Full Name | JON A KELLY |
| Credential | D.P.M. |
| Practice Address |
1601 Lincoln Way Mckeesport PA 15131-1720 |
| Practice Telephone | 4126739222 |
| Practice Fax Number | 4126730022 |
| Mailing Telephone | 4126739222 |
| Mailing Fax Number | 4126730022 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC-003063-L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010971010011 | 05 | |
| PA | HIGHMARK BCBS | 602340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866811 | Jon P Kelly | Orthopaedic Surgery | 2777 Jefferson St, Suite 100, Carlsbad, CA 92008-1743 | 2006-07-03 |
| Street Address |
1601 LINCOLN WAY |
| City | MCKEESPORT |
| State | PA |
| Zip Code | 15131-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568843365 | Transitions | Residential Treatment Facility, Physical Disabilities | 116 Midway Dr, White Oak, PA 15131 | 2015-06-17 |
| 1831590108 | Nicole Hoffner | Physical Therapist | 1501 Lincoln Way Ste 203, White Oak, PA 15131 | 2014-09-05 |
| 1376835413 | Upmc Community Medicine Inc | Family Medicine | 2001 Lincoln Way Ste 290, White Oak, PA 15131 | 2011-05-09 |
| 1609104124 | David Glenn Badstibner | Dentist | 1414 Lincoln Way, Mckeesport, PA 15131 | 2009-11-20 |
| 1063652055 | Thomas Brindock | Dentist | 1631 Kansas Avenue, White Oak, PA 15131 | 2009-03-03 |
| 1013110253 | Sherry Christine Mcquiston | Pharmacist | 1550 Ohio Avenue, White Oak, PA 15131 | 2007-06-06 |
| 1326260217 | Patrick Joseph Piovesan | Dentist | 1221 Long Run Road, White Oak, PA 15131 | 2007-05-02 |
| 1023146867 | Darren Wesley Dubyak | Chiropractor | 318 Circle Dr, White Oak, PA 15131 | 2007-03-02 |
| 1124176219 | Thomas Michael Luczkow | Social Worker | 1540 R. Lincoln Way, White Oak, PA 15131 | 2007-01-08 |
| 1588731525 | Perry J Zona | Chiropractor | 3001 Jacks Run Road, White Oak, PA 15131 | 2006-11-28 |
| Find all providers in zip 15131 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MCKEESPORT |
| Zip Code | 15131 |
Please comment or provide details below to improve the information on JON A 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.