DR. JUSTIN KELLY (NPI# 1477906915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477906915 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KELLY |
| Credential | MD |
| Practice Address |
661 E Altamonte Dr Ste 220 Altamonte Springs FL 32701-5102 |
| Practice Telephone | 4073035191 |
| Practice Fax Number | 4073035193 |
| Mailing Telephone | 4073035191 |
| Mailing Fax Number | 4073035193 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2017-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | ME134463 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN22550 | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720415060 | Justin Kelly | Specialist/Technologist | 9 Windstream Ct, Radford, VA 24141-3161 | 2013-10-01 |
| 1548737091 | Justin T Kelly | Physical Therapist | 2404 S Locust St Ste 5, Las Cruces, NM 88001-5789 | 2018-11-01 |
| 1225491335 | Justin Kelly | Counselor | 7200 Desiard St, Monroe, LA 71203-3913 | 2016-04-05 |
| 1841676806 | Justin Kelly | Physical Therapy Assistant | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2015-07-31 |
| 1447406376 | Justin C Kelly | Counselor | 2020 Centre St, West Roxbury, MA 02132-3316 | 2008-08-12 |
| Street Address |
661 E ALTAMONTE DR STE 220 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902072663 | Mark Karam Soliman | Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2008-05-02 |
| 1790283208 | Amanda Cali | Physician Assistant | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2018-01-30 |
| 1174978175 | Samantha Bonilla | Nurse Practitioner | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701 | 2016-04-27 |
| 1578943049 | Sandria Alathia Mclymont | Nurse Practitioner | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2015-05-31 |
| 1134469166 | Yaphet Tilahun | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134469166 | Yaphet Tilahun | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701 | 2013-02-28 |
| 1699729244 | Matthew Ross Albert | Colon & Rectal Surgery | 661 E Altamonte Dr, Suite 220, Altamonte Springs, FL 32701-5105 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047670 | Annamarie Kondek | Colon & Rectal Surgery | 100 N Dean Rd Ste 200b, Orlando, FL 32825-3710 | 2019-11-18 |
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1265927297 | South Florida Colorectal Institute Pllc | Colon & Rectal Surgery | 1600 S Federal Hwy Ste 420, Pompano Beach, FL 33062-7531 | 2018-06-22 |
| 1881036440 | Michael Jay Haimo | Colon & Rectal Surgery | 3020 Ne 44th St, Fort Lauderdale, FL 33308-5308 | 2013-07-24 |
| 1083973408 | Marco Ferrara | Colon & Rectal Surgery | 110 W Underwood St Ste A, Orlando, FL 32806 | 2012-05-04 |
| 1760748784 | Juliet June Ray | Colon & Rectal Surgery | 5503 S Congress Ave Ste 206, Atlantis, FL 33462-6626 | 2012-04-03 |
| 1033496401 | Dennis Alan Fried | Colon & Rectal Surgery | 680 Ternberry Forest Dr, The Villages, FL 32162-6446 | 2011-11-12 |
| 1992004600 | Robert John Yu | Colon & Rectal Surgery | 550 Memorial Cir Ste H, Ormond Beach, FL 32174-5055 | 2011-03-21 |
| 1487970679 | Anal Rectal Clinic Pa | Colon & Rectal Surgery | 40124 Highway 27 Ste 203, Davenport, FL 33837-5905 | 2010-04-13 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
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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.