DR. MICHAEL S KELLEHER JR. (NPI# 1518253418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518253418 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S KELLEHER JR. |
| Credential | M.D. |
| Practice Address |
1591 Boston Post Rd Ste 106 Guilford CT 06437-4335 |
| Mailing Address |
57 S Main St Middletown CT 06457-3606 |
| Practice Telephone | 2034535123 |
| Mailing Telephone | 8606207298 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
54974 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 065103220 | 2036882259 | 2036885599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902205412 | Michael Kelleher | Behavioral Analyst | 2753 Hampton Green Ln, Brandon, FL 33511-7004 | 2014-08-20 |
| 1861846545 | Michael B Kelleher | Internal Medicine | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-04-19 |
| 1154495448 | Michael David Kelleher | Pediatrics | 2300 Childrens Plaza, Box #73, Chicago, IL 60614-3394 | 2006-11-20 |
| 1851475800 | Michael B Kelleher | Pathology | 4939 Brittonfield Pkwy, 209, East Syracuse, NY 13057-9208 | 2006-10-25 |
| 1417046004 | Michael John Kelleher | Otolaryngology | 106 Milford Street, Suite 101, Salisbury, MD 21804 | 2006-10-12 |
| 1326001272 | Michael S. Kelleher | Physician Assistant | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2006-04-11 |
| 1811965130 | Michael H Kelleher | Internal Medicine | 5 Neponset St Fl Street12, Worcester, MA 01606-2714 | 2006-03-11 |
| Street Address |
1591 BOSTON POST RD STE 106 |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760593347 | Guilford Radiology LLC | Radiology | 1591 Boston Post Rd Ste 106, Guilford, CT 06437 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760593347 | Guilford Radiology LLC | Radiology | 1591 Boston Post Rd Ste 106, Guilford, CT 06437 | 2006-08-31 |
| 1053344689 | Ramon Gonzalez | Radiology | 244 Village Pond Rd, Guilford, CT 06437-2048 | 2006-07-08 |
| 1861480576 | William N Friedman | Radiology | 111 Goose Ln, Guilford, CT 06437-5101 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| 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.