LAURA KELLEY (NPI# 1558348763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558348763 |
| Entity Type | Individual |
| Full Name | LAURA KELLEY |
| Credential | D.O. |
| Practice Address |
295 Forest Ave 2nd Floor Portland ME 04101-2018 |
| Practice Telephone | 2077725437 |
| Practice Fax Number | 2078791537 |
| Mailing Telephone | 2077725437 |
| Mailing Fax Number | 2078791537 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1865 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033466255 | Laura Marie Kelley | Physical Therapist | 3760 Convoy St., Suit 204, San Diego, CA 92111 | 2012-08-07 |
| 1699336875 | Laura R Kelley | Registered Nurse | 47 Obery St, Plymouth, MA 02360-2229 | 2019-06-27 |
| 1376092312 | Laura Kelley | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2016-10-03 |
| 1477923522 | Laura Kelley | Counselor | 921 14th Ave, Longview, WA 98632-2316 | 2015-10-01 |
| 1851738330 | Laura Wells Kelley | Nurse Practitioner | 9137 Middlebrook Pike, Knoxville, TN 37923-1425 | 2013-05-24 |
| 1902175847 | Laura Kathryn Kelley | Pharmacist | 13520 Tamiami Trl N, Naples, FL 34110-6341 | 2011-12-21 |
| 1033247978 | Laura Elizabeth Kelley | Social Worker | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2007-03-01 |
| 1245206135 | Laura Mayer Kelley | Pediatrics | 100 E Carroll St, P R M C, Salisbury, MD 21801 | 2006-02-28 |
| Street Address |
295 FOREST AVE 2ND FLOOR |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397760 | John A Pelletier | Neuromusculoskeletal Medicine & OMM | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| 1750982633 | Nicole Peters Mediouni | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-11-05 |
| 1467079830 | Eric Payeur | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-07-01 |
| 1366087413 | Jessica Allen | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2019-11-13 |
| 1235525478 | Amy Verville | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2015-04-14 |
| 1063827376 | Elwen Eaton | Pharmacy Technician | 295 Forest Ave, 2r Hannaford Plaza, Portland, ME 04101-2018 | 2014-06-25 |
| 1710173133 | Angela L Branda | Pediatrics | 295 Forest Ave, 2r, Portland, ME 04101-2018 | 2007-09-19 |
| 1013025402 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 295 Forest Ave, Portland, ME 04101-2018 | 2006-08-27 |
| 1033174693 | Paula Vokey | Social Worker | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2006-04-18 |
| 1659357275 | Amy P Farb | Pediatrics | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| 1801162789 | Gabriel Larson | Pediatrics | 700 S.w. Campus Drive, 7th Floor, Portland, OR 97239 | 2012-03-26 |
| 1376833616 | Ashley Holsen | Pediatrics | 10000 Se Main St Ste 30, Portland, OR 97216-2461 | 2011-04-07 |
| 1477852259 | Kelsey Linde Richardson | Pediatrics | 3181 Sw Sam Jackson Hall Rd, Portland, OR 97239 | 2011-03-20 |
| 1093038986 | Seth M Williams | Pediatrics | 2801 N. Gantenbein Legacy Emanuel Medical Center, Randall Children's Hospital, Portland, OR 97227 | 2010-03-05 |
| 1669600904 | Erica Empey Benthin | Pediatrics | 205 Nw 16th Ave Apt 7, Portland, OR 97209-2648 | 2009-06-25 |
| 1871720136 | Corey Adair Fish | Pediatrics | 6924 Ne Sandy Blvd, Portland, OR 97213-5256 | 2009-06-14 |
| Find all providers in PORTLAND | ||||
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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.