DR. EDWIN S CHELLI (NPI# 1508988353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508988353 |
| Entity Type | Individual |
| Full Name | DR. EDWIN S CHELLI |
| Credential | M.D. |
| Practice Address |
289 Ireland Ave Fort Knox KY 40121-5111 |
| Mailing Address |
9 Wishing Well Ct Simpsonville SC 29681-4963 |
| Practice Telephone | 8125261135 |
| Practice Fax Number | 8125261768 |
| Mailing Telephone | 6303635065 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036-111266 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 430-10-72926 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
37525 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
289 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263775 | Linda Jean Anderson | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2005-05-23 |
| 1770067183 | Marsha Ann Paul | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2018-09-20 |
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1639628688 | Lisa L Campbell | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-09-30 |
| 1134675689 | Wendy Lee | Dental Hygienist | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-08-25 |
| 1730531104 | Derek A Albright | Dental Assistant | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-07-08 |
| 1104287234 | Laurel Alexander Darhali | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-03-17 |
| 1164889176 | Andres Perez | Emergency Medicine | 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121-5111 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363509 | The Well Wagon, LLC | Family Medicine | 2124 Dogoon Dr, Louisville, KY 40223-1147 | 2020-10-12 |
| 1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
| 1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
| 1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
| 1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
| 1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
| 1366607582 | Harold Douglass Crall | Family Medicine | 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 | 2008-07-28 |
| 1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
| 1912033929 | Gregory Edward Mick | Family Medicine | 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 | 2007-02-26 |
| 1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
| 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.