JOHN CURTIS KELLY (NPI# 1528470341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528470341 |
| Entity Type | Individual |
| Full Name | JOHN CURTIS KELLY |
| Credential | PA-C |
| Practice Address |
1701 Curve Crest Blvd W Ste 104 Stillwater MN 55082-6181 |
| Practice Telephone | 6514398807 |
| Practice Fax Number | 6524390232 |
| Mailing Telephone | 6514398807 |
| Mailing Fax Number | 6524390232 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 13315 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085-005039 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
1701 CURVE CREST BLVD W STE 104 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043299738 | Bryan D Den Hartog | Orthopaedic Surgery | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2006-01-11 |
| 1649821646 | Robert Monroe Poutre | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-09-23 |
| 1174186084 | Andrea Mitchell Riess | Nurse Practitioner | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-04-16 |
| 1578021739 | Mallory Strong Halaas | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-03-06 |
| 1902396799 | Kristi Ann Gingras | Specialist/Technologist, Other | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2018-05-16 |
| 1770099103 | Ashton Mae Makwana | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2017-12-21 |
| 1265840698 | Laura Lee Arcand | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2014-07-29 |
| 1245646983 | Andrew Charles Ockuly | Orthopaedic Surgery | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2014-07-02 |
| 1639467988 | Timothy Hafemeyer | Physical Therapist | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2011-07-20 |
| 1447565890 | Nicole Joy Siegler | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043843782 | Andrea Claire Mueller | Physician Assistant | 8050 Imperial Ct N, Stillwater, MN 55082-9340 | 2020-02-21 |
| 1235604984 | Zachary T Edens | Physician Assistant | 1909 W 6th Ave Ste B, Stillwater, OK 74074-4204 | 2018-10-09 |
| 1881916179 | Meredith Pruitt | Physician Assistant | 1009 W 9th Ave, Stillwater, OK 74074-5404 | 2010-02-27 |
| 1366488587 | Eric Sage Salman | Physician Assistant | 1950 Curve Crest Blvd W, Suite100, Stillwater, MN 55082-5078 | 2006-06-22 |
| 1134169774 | Jacob Gregory Guth | Physician Assistant | 1835 County Road C West, Suite 150, Stillwater, MN 55082-5078 | 2006-06-08 |
| 1124012638 | Elizabeth Fell Loken | Physician Assistant | 5701 Stillwater Blvd N, Stillwater, MN 55082-1030 | 2005-09-12 |
| 1174121677 | Christen Nelson | Physician Assistant | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2020-10-16 |
| 1194336412 | Anna Kaci Renner | Physician Assistant | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-08-11 |
| 1275163735 | Trevor Duade Maxwell | Physician Assistant | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2020-01-23 |
| 1649821646 | Robert Monroe Poutre | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-09-23 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.