DR. SCOTT PATRICK KELLY (NPI# 1467434357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467434357 |
| Entity Type | Individual |
| Full Name | DR. SCOTT PATRICK KELLY |
| Credential | MD |
| Practice Address |
Oaklawn Hospital 200 N. Madison St. Marshall MI 49068 |
| Mailing Address |
333 N Grand St Marshall MI 49068-1109 |
| Practice Telephone | 2697817040 |
| Mailing Telephone | 4802217599 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 29476 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EVERCARE GRP NBR | 3981220 | 01 | |
| AZ | BLUECROSS BLUESHIELD GRP | AZ0728670 | 01 |
| AZ | 752726 | 05 | |
| AZ | HEALTHNET GRP NBR | AW1436 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1356882625 | Scott Kelly | Specialist/Technologist | 21840 Nw 218th Ter, High Springs, FL 32643-9081 | 2017-03-20 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1295211001 | Scott Edward Kelly | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-07-15 |
| 1811126105 | Scott Douglas Kelly | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2009-07-07 |
| 1184892051 | Scott A Kelly | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-13 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| 1962508093 | Scott Munro Kelly | Urology | 1004 1st St N, Suite 320, Alabaster, AL 35007-8766 | 2006-09-16 |
| Street Address |
OAKLAWN HOSPITAL 200 N. MADISON ST. |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| 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 |
|---|---|---|---|---|
| 1770829343 | Larsen Jones Associates, P.C. | Emergency Medicine | 10599 Warland Rd, Marshall, VA 20115-2365 | 2012-12-29 |
| 1780652875 | Stephen R Engler | Emergency Medicine | 2305 S. 65 Highway, Marshall, MO 65340 | 2006-03-14 |
| 1841602919 | Rachel Pughsley | Emergency Medicine | 200 N Madison St, Marshall, MI 49068 | 2014-05-23 |
| 1154761203 | Tin Ming Timothy Mok | Emergency Medicine | 300 S Bruce St, Avera Marshall Medical Group, Marshall, MN 56258-1934 | 2013-07-02 |
| 1780877308 | Michael James Gerber | Emergency Medicine | 300 S Bruce St, Marshall, MN 56258-1934 | 2007-08-27 |
| 1174728539 | Seyed A Sajadi | Emergency Medicine | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2007-06-18 |
| 1326267147 | Patrick Chidi Obasi | Emergency Medicine | 815 S Washington Ave, Suite 303, Marshall, TX 75670-5369 | 2007-04-24 |
| 1871659193 | Jeffery C Diehl | Emergency Medicine | 2305 S. 65 Hwy, Marshall, MO 65340-0250 | 2006-12-29 |
| 1487676573 | Timothy B Raleigh | Emergency Medicine | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2006-07-24 |
| 1093733842 | Mrmc Emergency Physicians | Emergency Medicine | 811 S Washington Ave, Marshall, TX 75670-5336 | 2006-07-18 |
| Find all providers in MARSHALL | ||||
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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.