DR. THOMAS ALAN KELLY (NPI# 1629033444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629033444 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALAN KELLY |
| Credential | D.O. |
| Practice Address |
101 E Spicerville Hwy Eaton Rapids MI 48827-1919 |
| Practice Telephone | 5176632705 |
| Mailing Telephone | 5176632705 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 5101008344 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 5101008344 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP | 0100444 | 01 |
| MI | BLUECROSS BLUE SHIELD PIN | 0152330085 | 01 |
| MI | CHAMPUS | M034742 | 01 |
| MI | MCARE | C6121 | 01 |
| MI | 3319192 | 05 | |
| MI | PHP FAMIL CARE | 0170444 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
101 E SPICERVILLE HWY |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886565 | Ashok K Gupta | Internal Medicine | 101 E Spicerville Hwy, Ste 300, Eaton Rapids, MI 48827-1919 | 2006-01-25 |
| 1366689275 | Thomas A. Kelly D.o. P.C. | General Practice | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2009-01-14 |
| 1275708380 | Ashok K Gupta Md Plc | Internal Medicine | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2008-04-29 |
| 1942427240 | Cynthia Allison Varterasian | Marriage & Family Therapist | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2007-04-19 |
| 1588751226 | Vickie L Gregory | Nurse Practitioner | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2006-10-06 |
| 1639279300 | Susan L Courtnage | Internal Medicine | 101 E Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 | 2006-09-23 |
| 1568562221 | Susan L. Courtnage, Md, PC | Internal Medicine | 101 E Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1083062368 | Tara Calabro | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2016-05-27 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366558801 | Paul D Hankenson | Family Medicine | 1501 Kyle St, Eaton Rapids, MI 48827-8908 | 2006-08-21 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1932578465 | Home Primary Care Mht LLC | Family Medicine | 2285 S Michigan Rd, Eaton Rapids, MI 48827-9206 | 2015-09-15 |
| 1497135354 | Eaton Rapids Family Medicine PC | Family Medicine | 1501 Kyle St, Eaton Rapids, MI 48827-8949 | 2015-06-05 |
| 1043507833 | Harshini A Jayasuriya | Family Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2011-06-30 |
| 1437383296 | Eaton Rapids Medical Center | Family Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2009-05-08 |
| 1386810356 | Jonathan P Wulff, D.o., PC | Family Medicine | 1501 Kyle St, Eaton Rapids, MI 48827-8908 | 2008-04-30 |
| 1356380950 | Amy Blaising Wallace | Family Medicine | 1415 S Main St, Eaton Rapids, MI 48827-1959 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.