DR. KELLEY ELIZABETH CONROY (NPI# 1619130275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619130275 |
| Entity Type | Individual |
| Full Name | DR. KELLEY ELIZABETH CONROY |
| Credential | M.D. |
| Practice Address |
887 Congress St Portland ME 04102-3100 |
| Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
| Practice Telephone | 2077715549 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 237241 | MA | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
MD20532 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
887 CONGRESS ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
| 1245886209 | Melisa Suzanne Sprague | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2019-08-15 |
| 1821503939 | Allison Layton | Social Worker | 887 Congress St, Portland, ME 04102-3100 | 2017-12-12 |
| 1104349133 | Laura Ann Lebourdais | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2017-07-21 |
| 1518342526 | Mainehealth | General Acute Care Hospital | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1093100646 | Douglas D. Campbell | Anesthesiology | 887 Congress St, Portland, ME 04102-3100 | 2015-03-31 |
| 1508260530 | Emily Sweeney | Nurse Practitioner | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-10-20 |
| 1639580947 | Valerie Carpenter | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2014-05-08 |
| 1932521085 | Jaime Eller | Social Worker | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
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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.