MR. JOHN P KELLY (NPI# 1477512234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477512234 |
| Entity Type | Individual |
| Full Name | MR. JOHN P KELLY |
| Credential | MD |
| Practice Address |
1535 Medical Pkwy Ste B Carson City NV 89703-4654 |
| Mailing Address |
Po Box 4540 Carson City NV 89702-4540 |
| Practice Telephone | 7754457960 |
| Practice Fax Number | 7758833395 |
| Mailing Telephone | 7758820430 |
| Mailing Fax Number | 7758526902 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
NV6376 | NV | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
6376 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICAL LICENSE | 6376 | 01 |
| NV | 002013294 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
1535 MEDICAL PKWY STE B |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810575 | Mckenzie Rose Comba | Physician Assistant | 1535 Medical Pkwy, Carson City, NV 89703-4654 | 2019-09-11 |
| 1932113305 | Richard Crosby | Physician Assistant | 1535 Medical Pkwy, Suite B, Carson City, NV 89703-4654 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829635 | Jorge H Perez | Internal Medicine | 1460 S Curry St, Suite 100, Carson City, NV 89703-5100 | 2006-07-07 |
| 1659695005 | Carson Tahoe Physician Clinics | Internal Medicine | 1535 Medical Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-15 |
| 1134283864 | John Paul Kelly | Internal Medicine | 1535 Medical Parkway, Suite B, Carson City, NV 89703 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785141 | John A Ellerton Md.ltd Dba Cancer Consultants | Internal Medicine | 2020 W. Palomino Ln, Suite #110, Las Vegas, NV 89106-4812 | 2007-05-04 |
| 1164574281 | Donald Cassidy Md Ltd | Internal Medicine | 75 Pringle Way Ste 711, Reno, NV 89502-1472 | 2007-01-17 |
| 1568513059 | Gary Allen Palmer | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2007-01-13 |
| 1063587459 | Shamoon Ahmad | Internal Medicine | 3340 Topaz St, Suite 100, Las Vegas, NV 89121-3903 | 2006-11-21 |
| 1356442438 | Desh P Sharma | Internal Medicine | 6900n. Pecos Rd, 1a216, N. Las Vegas, NV 89086 | 2006-09-25 |
| 1952414948 | Delva P. Deauna-limayo | Internal Medicine | 3150 N Tenaya Way Ste 530, Las Vegas, NV 89128-0465 | 2006-08-16 |
| 1972512390 | Paul Michael | Internal Medicine | 199 Courtney Ann Dr, Henderson, NV 89074 | 2006-08-05 |
| 1659389062 | Arlene Bayreder | Internal Medicine | 3121 S. Maryland Pkwy Suite 300, Las Vegas, NV 29109 | 2006-08-03 |
| 1619983178 | James Forsythe | Internal Medicine | 521 Hammill Ln, Reno, NV 89511-1004 | 2006-08-01 |
| 1437164100 | Antonio Herlander Fontelonga | Internal Medicine | 75 Pringle Way Ste 706, Reno, NV 89502-1472 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on MR. JOHN P 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.