COLLEEN ELIZABETH KELLEY (NPI# 1427032119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427032119 |
| Entity Type | Individual |
| Full Name | COLLEEN ELIZABETH KELLEY |
| Credential | MD |
| Practice Address |
1300 Massachusetts Ave Emergency Dept St Marys Hospital Troy NY 12180-1628 |
| Mailing Address |
Po Box 1434 Bennington VT 05201-1434 |
| Practice Telephone | 5182685697 |
| Practice Fax Number | 5182685766 |
| Mailing Telephone | 8024473520 |
| Mailing Fax Number | 8024473520 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0420008624 | VT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 160480 | MA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 2140431 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01975837 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346659604 | Colleen Kelley | Occupational Therapist | 218 Redondo Ave Apt 7, Long Beach, CA 90803-5903 | 2014-08-11 |
| 1861433088 | Colleen Denise Kelley | Physician Assistant | 11234 Leatherwood Dr, Reston, VA 20191-4607 | 2006-06-09 |
| 1437108396 | Colleen T Kelley | Specialist | 120 Silver Lake Rd, Middletown, DE 19709-1225 | 2006-05-09 |
| 1932737301 | Colleen Kelley | Physical Therapy Assistant | 31 Vauxhall St, New London, CT 06320-5723 | 2020-03-31 |
| 1215575709 | Colleen Kelley | Occupational Therapy Assistant | 130 Lomond Ct, Utica, NY 13502-5957 | 2019-12-15 |
| 1073947941 | Colleen Marie Kelley | Counselor | 401 Cypress St, Manchester, NH 03103-3628 | 2013-08-28 |
| 1922282490 | Colleen F Kelley | Internal Medicine | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2007-12-20 |
| 1164518940 | Colleen Ruth Kelley | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115 | 2006-10-05 |
| Street Address |
1300 MASSACHUSETTS AVE EMERGENCY DEPT ST MARYS HOSPITAL |
| City | TROY |
| State | NY |
| Zip Code | 12180-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010212 | Chinedu Abara | Anesthesiology | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2005-06-01 |
| 1952885915 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-09-17 |
| 1952889560 | Lynna J Gu | Physician Assistant | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-08-06 |
| 1497252845 | Alphonse Ntube Akuo | Nurse Practitioner | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-04-11 |
| 1346752078 | Seton Health System, Inc. | Clinic/Center | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-11-03 |
| 1760994156 | Selma K Crump | Nurse Practitioner | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-10-25 |
| 1477090025 | Seton Health System, Inc | Internal Medicine | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-01-20 |
| 1144628652 | Courtney Rose Caimano | Pharmacist | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2014-12-15 |
| 1881006302 | Elecia Novak | Physician Assistant | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2014-06-02 |
| 1124458369 | Seton Health System, Inc. | Psychologist | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664881 | Upstate Concierge Medicine Pllc | Emergency Medicine | 216 River St Ste 3, Troy, NY 12180-3848 | 2018-06-28 |
| 1831453273 | Ingrid Zylinski | Emergency Medicine | 888 W Big Beaver Rd Suite #1450 Perspective Counseling, Troy, MI 48084 | 2012-06-29 |
| 1669748091 | Terrence Hwakai Liang | Emergency Medicine | 3797 Victoria Dr, Troy, MI 48083-6307 | 2012-03-29 |
| 1962713750 | Armenia Mountain Emergency Physicians LLC | Emergency Medicine | 101 Elmira St., Troy, PA 16947-1271 | 2010-06-25 |
| 1841336658 | Michael Scott Reddington | Emergency Medicine | 754 Sandalwood Dr, Troy, MI 48085-1644 | 2007-01-29 |
| 1538232830 | Melissa Fiorini | Emergency Medicine | 79 Vandenburgh Avenue, Troy, NY 12180 | 2006-11-16 |
| 1346251816 | Ali Syed Taqi | Emergency Medicine | 6397 Denton Dr, Troy, MI 48098-2006 | 2006-08-10 |
| 1710995287 | Stephen J Sokaris | Emergency Medicine | 1300 Massachusetts Avenue, Troy, NY 12180 | 2006-08-03 |
| 1639117534 | Adolfo Robledo | Emergency Medicine | 1330 Highway 231 S, Troy, AL 36081-3058 | 2006-06-03 |
| 1821043209 | Gail Moolsintong | Emergency Medicine | 1165 A East Cherry St, Troy, MO 63379 | 2006-05-23 |
| Find all providers in TROY | ||||
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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.