GREGORY E KELLAM (NPI# 1548373343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548373343 |
| Entity Type | Individual |
| Full Name | GREGORY E KELLAM |
| Credential | MD |
| Practice Address |
2460 Patterson Rd Unit 2 Grand Junction CO 81505-1027 |
| Practice Telephone | 9702439000 |
| Practice Fax Number | 9702454936 |
| Mailing Telephone | 9702439000 |
| Mailing Fax Number | 9702454936 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 37658 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BK6243808 | 01 | |
| CO | 49109561 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Wellington Ave, Grand Junction, CO 81501 | 9702439000 | 9702454936 |
| Street Address |
2460 PATTERSON RD UNIT 2 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922235258 | Tracy Don Carter | Ophthalmology | 2460 Patterson Rd Unit 2, Grand Junction, CO 81505-1027 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295997351 | James Albert Fox | Ophthalmology | 1000 Wellington Ave Ste A, Grand Junction, CO 81501-8180 | 2008-06-30 |
| 1316150287 | Jonathan Harder | Ophthalmology | 2478 Patterson Rd Ste 7, Grand Junction, CO 81505-3606 | 2007-05-08 |
| 1861406274 | Randall Jay Rottman | Ophthalmology | 1190 Bookcliff Ave, Ste 102 Rottman Eye Care, PC, Grand Junction, CO 81501-8133 | 2006-07-28 |
| 1295775195 | John Gerard Oster | Ophthalmology | 2472 Patterson Rd, Suite 11, Grand Junction, CO 81505-1285 | 2006-06-08 |
| 1124019112 | Walter Jay Hoffman | Ophthalmology | 1000 Wellington Ave, Ste A, Grand Junction, CO 81501-8180 | 2005-10-31 |
| 1477892172 | The Retina Center of Western Colorado Rllp | Ophthalmology | 2478 Patterson Rd, Suite 7, Grand Junction, CO 81505-3605 | 2013-01-31 |
| 1922235258 | Tracy Don Carter | Ophthalmology | 2460 Patterson Rd Unit 2, Grand Junction, CO 81505-1027 | 2009-06-12 |
| 1447446216 | Robert W Rigg Md PC | Ophthalmology | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2007-09-14 |
| 1821297516 | Rottman Eye Care, PC | Ophthalmology | 1190 Bookcliff Ave, Ste 102, Grand Junction, CO 81501-8133 | 2007-07-13 |
| 1922207745 | Grey Eye Care PC | Ophthalmology | 1120 Wellington Ave, Suite 107, Grand Junction, CO 81501-6129 | 2007-07-12 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on GREGORY E KELLAM.
| 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.