DR. PAUL F KELLY (NPI# 1548297930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548297930 |
| Entity Type | Individual |
| Full Name | DR. PAUL F KELLY |
| Credential | M.D. |
| Practice Address |
56 Franklin St. 3rd Floor Waterbury CT 06706-1253 |
| Practice Telephone | 2037096000 |
| Mailing Telephone | 2037096000 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
035359 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UHC | 10-86502 | 01 |
| CT | RR MEDICARE | P00025411 | 01 |
| CO | ANTHEM BC & BS | 010035359CT01 | 01 |
| CT | UNITED HEALTHCARE | 604583 | 01 |
| CT | OXFORD HEALTH PLANS | P407727 | 01 |
| CT | 001353599 | 05 | |
| CT | WELLCARE | 206706 | 01 |
| CT | USA | 873719 | 01 |
| CT | CIGNA HEALTH PLANS | 01035359 | 01 |
| CT | CONNECTICARE | 035359 | 01 |
| CT | HEALTH NET OF NORTHEAST | 0R03179 | 01 |
| CT | AETNA HEALTH PLANS | 4369921 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417366105 | Paul Kelly | Counselor | 1 Railroad Ave, Closter, NJ 07624-1240 | 2014-08-06 |
| 1457782658 | Paul Kelly | Counselor | 481 8th Avenue, Suite 520, New York Pathways, New York, NY 10001 | 2013-12-13 |
| 1164790960 | Paul A Kelly Sr. | Counselor | 3071 South Donouvan Street, Wasilla, AK 99654 | 2011-12-07 |
| 1609071836 | Paul D. Kelly | Chiropractor | 932 N Mitchell St, Suite 6, Cadillac, MI 49601-1285 | 2007-06-18 |
| 1316079924 | Paul Owen Kelly | Internal Medicine | 4713 State Rd, Drexel Hill, PA 19026-4727 | 2007-03-09 |
| 1629112685 | Paul Anthony Kelly | Acupuncturist | 152 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-02-16 |
| 1831253533 | Paul Colin Kelly | Physical Therapist | 113 E 23rd St, New York, NY 10010-4507 | 2006-12-20 |
| 1841352895 | Paul Edward Kelly | Counselor | 3698 Seabass Rd, Decatur, GA 30034-6954 | 2006-12-15 |
| 1538230255 | Paul David Kelly | Pharmacist | 270 Lafayette Rd, Seabrook, NH 03874-4542 | 2006-11-13 |
| 1326670308 | Paul Kevin Kelly | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2020-02-07 |
| Street Address |
56 FRANKLIN ST. 3RD FLOOR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538445804 | Lisa Tryon | Physician Assistant | 56 Franklin St., 3rd Floor, Waterbury, CT 06706-1253 | 2011-10-31 |
| 1477837649 | Erika Mogrovejo | Student in an Organized Health Care Education/Training Program | 56 Franklin St., Waterbury, CT 06706-1221 | 2011-10-05 |
| 1295019461 | Faiza Salam | Student in an Organized Health Care Education/Training Program | 56 Franklin St., Waterbury, CT 06706-1221 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255499653 | Michael C Malinics | Internal Medicine | 1981 E Main St Fl 2, Waterbury, CT 06705-1822 | 2006-12-05 |
| 1114015427 | Joel A Sherman | Internal Medicine | 1211 W Main St., Waterbury, CT 06708-3106 | 2006-10-11 |
| 1669417184 | Kevin Gerard Kett | Internal Medicine | 455 Chase Parkway, Waterbury, CT 06708-3352 | 2006-06-18 |
| 1487910410 | Essam N Nakhla | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708-3352 | 2012-04-04 |
| 1568755700 | Arslan Johnghar | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708 | 2011-05-20 |
| 1508063470 | Peter Chia-gee Chien | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2007-07-02 |
| 1972720522 | Rebecca Marin Scandrett | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2007-04-18 |
| 1578680062 | Raghuraman R Vidhun | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708-3352 | 2007-03-22 |
| 1215064498 | Quality Cardiovascular Care LLC | Internal Medicine | 1389 W Main St, Tower One, Suite 106, Waterbury, CT 06708-3104 | 2007-02-27 |
| 1851459390 | Mark S Rosenberg | Internal Medicine | 1389 W Main St, Tower 1 Suite 106, Waterbury, CT 06708-3104 | 2006-12-05 |
| Find all providers in WATERBURY | ||||
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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.