DR. MARIE LYNN KELLETT (NPI# 1437181021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437181021 |
| Entity Type | Individual |
| Full Name | DR. MARIE LYNN KELLETT |
| Other Name | DR. MARIE LYNN VANDEN BOSCHE |
| Credential | MD |
| Practice Address |
116 S George St Suite 301 York PA 17401-1474 |
| Mailing Address |
116 S George St Ste 301 York PA 17401-1443 |
| Practice Telephone | 7178014821 |
| Practice Fax Number | 7178540377 |
| Mailing Telephone | 7178014821 |
| Mailing Fax Number | 7178540377 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD069128L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 422755 | 01 |
| PA | AETNA | 7745873 | 01 |
| PA | 037277EBX | 05 | |
| PA | GEISINGER | 100454 | 01 |
| PA | CAPITAL BLUE CROSS | 20145139 | 01 |
| PA | MAMSI-WMG | 2114706 | 01 |
| PA | AMERIHEALTH CARITAS | 30261433 | 01 |
| PA | 001796416 | 05 |
| Street Address |
116 S GEORGE ST SUITE 301 |
| City | YORK |
| State | PA |
| Zip Code | 17401-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891763272 | Nicole M Toth | Pediatrics | 116 S George St, Suite 301, York, PA 17401-1474 | 2006-03-10 |
| 1306446166 | Kathryn M Fossaceca | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-29 |
| 1124626171 | Ciara Nicole Rundle | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-13 |
| 1730712696 | Michael Benton | Registered Nurse | 116 S George St, York, PA 17401-1474 | 2020-02-19 |
| 1578105318 | Brittany Rae Rush | Social Worker | 116 S George St, York, PA 17401-1474 | 2019-10-14 |
| 1245888700 | Mary Klein | Counselor | 116 S George St, York, PA 17401-1474 | 2019-08-28 |
| 1154807220 | Ann Schwartzwalder | Social Worker | 116 S George St, York, PA 17401-1474 | 2018-07-12 |
| 1144715038 | Jamie Lynne Gallo | Dentist | 116 S George St, York, PA 17401-1474 | 2018-06-25 |
| 1477046134 | Ashley Nicole Beck | Dentist | 116 S George St, York, PA 17401-1474 | 2018-06-07 |
| 1518484062 | Jasmine Morales | Dental Hygienist | 116 S George St, York, PA 17401-1474 | 2017-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952724387 | Shiloh Homecare Corporation | Home Health | 266 W Market St, York, PA 17401 | 2014-01-21 |
| 1902245905 | Gwendolyn K Blankenship | Social Worker | Family First Health, 116 S George St, York, PA 17401 | 2013-06-24 |
| 1750668786 | York Academy Regional Charter School | Local Education Agency (LEA) | 32 West North St., York, PA 17401 | 2011-11-04 |
| 1932359593 | Brockie Healthcare,inc. | Pharmacy | 209 N Beaver Street, York, PA 17401 | 2008-09-19 |
| 1437252517 | Community Counseling Services LLC | Counselor | 239 W Philadelphia St, York, PA 17401 | 2006-09-06 |
| 1205211836 | Michele O'neill | Nurse Practitioner | 605 S George St Ste 200, York, PA 17401 | 2015-07-24 |
| 1912217340 | Kimberly Wilder | Counselor | 128 N George St, York, PA 17401 | 2010-10-19 |
| 1467621771 | Jessica Michael Petroskie | Counselor | 128 N George St, York, PA 17401 | 2008-02-21 |
| 1699952705 | Heather Elizabeth Wantz | Counselor | 128 N George St, York, PA 17401 | 2008-01-31 |
| 1588841654 | Lottie Smith | Social Worker | 128 N George St, York, PA 17401 | 2008-01-30 |
| Find all providers in zip 17401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295219780 | Ernest Lee Miller | Family Medicine | 27 Pecan Cir, York, SC 29745-1471 | 2018-09-20 |
| 1386164556 | Pinnacle Health Regional Physicians | Family Medicine | 2295 N Susquehanna Trl Ste A, York, PA 17404-8495 | 2017-06-20 |
| 1124491188 | Affinity Health Center | Family Medicine | 37 Pinckney St, York, SC 29745-1731 | 2015-11-12 |
| 1447653183 | Pa Enterprises | Family Medicine | 309 S, Lincoln Ave, York, NE 68467-4225 | 2014-10-08 |
| 1306281316 | Kenneth E. Yinger | Family Medicine | 1080 Elliott Lane, York, PA 17403 | 2013-05-03 |
| 1881935666 | Mark P Cartier Md PC | Family Medicine | 1 Brickyard Ln Ste Ee, York, ME 03909-1681 | 2013-03-04 |
| 1184918377 | Andrew R. Pohlmeier | Family Medicine | 2114 N Lincoln Ave Ste A, York, NE 68467-1072 | 2011-06-05 |
| 1053600569 | Frank Alfred Delia | Family Medicine | 1544 Heritage Ln, York, PA 17403-9030 | 2011-04-05 |
| 1659690246 | Brian D Allen | Family Medicine | 636 Evergreen Dr, York, PA 17402-8842 | 2010-05-22 |
| 1346566338 | Quincy O Harberger | Family Medicine | 1401 Roosevelt Ave, York, PA 17404-2244 | 2010-04-15 |
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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.