MATTHEW KELLEHER (NPI# 1619293875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619293875 |
| Entity Type | Individual |
| Full Name | MATTHEW KELLEHER |
| Credential | M.D. |
| Practice Address |
3333 Burnet Ave. Ml 5018 Cincinnati OH 45229-0326 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5136364315 |
| Practice Fax Number | 5136367905 |
| Mailing Telephone | 5135855504 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.120603 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.120603 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0100355 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922148881 | Matthew Kevin Kelleher | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2007-02-07 |
| 1225022882 | Matthew R Kelleher | Dermatology | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 | 2005-09-09 |
| Street Address |
3333 BURNET AVE. ML 5018 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-0326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1447787668 | Bharat Avirneni | Internal Medicine | 2139 Auburn Ave Rm 6166, Cincinnati, OH 45219-2906 | 2017-05-18 |
| 1336591759 | Hira Ghazal Shaikh | Internal Medicine | 3125 Eden Ave Ml 0562, Cincinnati, OH 45267-0562 | 2016-07-09 |
| 1255789228 | Daniel Nisi | Internal Medicine | 2139 Auburn Ave., Cincinnati, OH 45255 | 2016-05-31 |
| 1508210337 | Scott Douglas | Internal Medicine | 2123 Auburn Ave Ste A28, Cincinnati, OH 45219 | 2016-04-18 |
| 1679927842 | Firas Ahmed Adeel | Internal Medicine | 231 Albert Sabin Way Rm 6102, Cincinnati, OH 45267-3800 | 2016-04-14 |
| 1760862973 | Ilana Miriam Schlam | Internal Medicine | 3622 Zumstein Ave Apt 101, Cincinnati, OH 45208-1331 | 2015-06-02 |
| 1851787634 | R Geoffrey Motz | Internal Medicine | 2123 Auburn Ave Ste 404, Cincinnati, OH 45219-2906 | 2015-04-08 |
| 1235525023 | Grace Escamilla | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2015-04-08 |
| 1104231067 | Palwasha Kamal | Internal Medicine | 231 Albert Sabin Way # R7162, Cincinnati, OH 45267-0001 | 2014-06-30 |
| 1003221169 | Ewa Gniado | Internal Medicine | 3230 Eden Ave Box 670547, Cincinnati, OH 45267-6712 | 2014-06-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
Please comment or provide details below to improve the information on MATTHEW KELLEHER.
| 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.