DR. DOUGLAS A KELLY (NPI# 1497716781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497716781 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS A KELLY |
| Credential | MD |
| Practice Address |
1 Mercado St Ste 100 Durango CO 81301-7306 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 9703854746 |
| Practice Fax Number | 9702595787 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656640 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
DR0062949 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
19729 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000175543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174182380 | Douglas Kelly | Counselor | 362 Churchill Rd, Pittsburgh, PA 15235-5307 | 2019-06-11 |
| 1831610450 | Douglas Naismith Kelly | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2017-07-05 |
| 1568605244 | Douglas Craig Kelly | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-04-11 |
| 1104924158 | Douglas Wayne Kelly | Orthopaedic Surgery | 5501 N 19th Ave, 432, Phoenix, AZ 85015-2450 | 2006-09-20 |
| Street Address |
1 MERCADO ST STE 100 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-7306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556579 | Richard Graham Smith | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7300 | 2005-05-23 |
| 1639704729 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7306 | 2020-03-09 |
| 1043576754 | Catholic Health Initiatives Colorado | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7306 | 2012-04-06 |
| 1114157195 | Dennis Andrew Buck | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301 | 2009-07-23 |
| 1104922350 | Southwest Oncology PC | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7300 | 2006-09-15 |
| 1760448690 | Cynthia Karnes Cathcart | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7306 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548497407 | Jonathan Clark | Radiology | 1 Mercado St, Suite 100, Durango, CO 81301-7306 | 2009-06-18 |
| 1407861263 | Durango Cancer Center PC | Radiology | 1 Mercado St, Suite 100, Durango, CO 81301-7306 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
| 1093005738 | Timothy Victor Waxweiler | Radiology | 525 Bob Peters Grv, Radiation Oncology, Colorado Springs, CO 80950-0001 | 2011-04-14 |
| 1609020312 | Sana Dole Karam | Radiology | 1665 Aurora Ct Ste 1032, Aurora, CO 80045-2517 | 2008-11-07 |
| 1598912735 | Jeffrey R Olsen | Radiology | 535 Peters Grove Suite 100, Colorado Springs, CO 80909-4533 | 2008-08-19 |
| 1265697890 | Carole Lepper Milligan | Radiology | 1320 Blue Spruce Ct, Steamboat Springs, CO 80487-3027 | 2008-07-23 |
| 1528233905 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 799 E. Hampden Avenue, Englewood, CO 80113-2700 | 2008-04-25 |
| 1285834945 | Eugene Chung | Radiology | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2007-07-20 |
| 1497887624 | Seth D Reiner | Radiology | 2555 S. Downing St, Denver, CO 80210 | 2007-03-12 |
| 1689763369 | The Prostate Seed Center, LLC | Radiology | 3440 Youngfield St Pmb 115, Wheat Ridge, CO 80033-5245 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
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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.