MARK A. KELLEY (NPI# 1649348194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649348194 |
| Entity Type | Individual |
| Full Name | MARK A. KELLEY |
| Credential | M.D. |
| Practice Address |
6 Kent Ave Marshfield MA 02050 |
| Mailing Address |
6 Kent Ave Marshfield MA 02050-3079 |
| Practice Telephone | 2485217181 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 076453 | MI | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
076453 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
076453 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL-COMMERCIAL NUMBER | MK076453 | 01 | |
| BLUE CROSS-BLUE CROSS | 290H264420 | 01 | |
| MI | 425232910 | 05 | |
| CHAMPUS-CHAMPUS | MK076453 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, MI 48202 | 3138766677 | 3138746650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013313154 | Mark Allen Kelley | Registered Nurse | 1818 Albion St, Nashville, TN 37208-2918 | 2014-11-18 |
| 1003153750 | Mark M Kelley | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-01-14 |
| 1598998858 | Mark Kelley | Physical Therapy Assistant | 394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466 | 2009-09-02 |
| 1760645865 | Mark Kelley | Acupuncturist | 209 E Swallow Rd, Fort Collins, CO 80525-2539 | 2008-07-08 |
| 1902949878 | Mark Andrew Kelley | Marriage & Family Therapist | 405 Westwood Ave, High Point, NC 27262-4325 | 2007-02-14 |
| 1174622500 | Mark C Kelley | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-09-22 |
| 1851303978 | Mark A Kelley | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2006-08-13 |
| 1316980113 | Mark Alan Kelley | Psychiatry & Neurology | 1705 E 19th St, Suite 512, Tulsa, OK 74104-5405 | 2006-06-13 |
| 1831130996 | Mark Donald Kelley | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-06-09 |
| 1427004704 | Mark C Kelley | Dermatology | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2006-05-26 |
| Street Address |
6 KENT AVE |
| City | MARSHFIELD |
| State | MA |
| Zip Code | 02050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244051 | Leslie Ann Maxwell | Social Worker | 76 Ferry Hill Road, Marshfield, MA 02050 | 2020-10-30 |
| 1073039418 | Walgreen Co | Pharmacy | 1914 Ocean St, Marshfield, MA 02050 | 2017-08-17 |
| 1912454562 | Cait Southwood | Behavioral Analyst | 181 Winslow Street, Marshfield, MA 02050 | 2016-09-01 |
| 1013182740 | Tiffany Alexandria Mcadams | Dentist | 16 Snow Rd, All Smiles Family Dentistry PC, Marshfield, MA 02050 | 2008-04-23 |
| 1689857666 | Lindsey Lennon | Speech-Language Pathologist | 55 Marshhawk Way, Marshfield, MA 02050 | 2007-12-12 |
| 1922151349 | Robert John Romano | Psychologist | 475 Furnace Street, Marshfield, MA 02050 | 2007-01-19 |
| 1841348232 | Roland P Duprey | Dentist | One Snow Rd, Marshfield, MA 02050 | 2007-01-08 |
| 1568525327 | Elizabeth Ann Spaulding | Social Worker | 650 Ferry Street, Marshfield, MA 02050 | 2006-12-19 |
| 1134212996 | Ann Marie D Mackinnon | Social Worker | 475 School Street Suite 14-17, Marshfield, MA 02050 | 2006-10-02 |
| 1336254994 | Linda Marie Slocum Vassallo | Dentist | 693 Plain Street, Marshfield, MA 02050 | 2006-08-21 |
| Find all providers in zip 02050 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1598865222 | Steven R Gilbert | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646140 | General Pulmonary Associates, Inc | Internal Medicine | 46 Obery St Ste 100, Plymouth, MA 02360-2237 | 2019-12-18 |
| 1457814469 | Sleep Medicine Associates Inc | Internal Medicine | 370 Faunce Corner Rd Fl 2, Dartmouth, MA 02747-1271 | 2019-04-08 |
| 1598234916 | Pulmcc LLC | Internal Medicine | 22 Agawam Rd, Winchester, MA 01890-3302 | 2018-11-14 |
| 1124487368 | Aba Somers Md LLC | Internal Medicine | 115 Lincoln St Fl 2, Framingham, MA 01702-6358 | 2016-02-16 |
| 1235547084 | Mass Lung & Allergy PC | Internal Medicine | 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 | 2014-07-24 |
| 1528488459 | Kate Steinberg | Internal Medicine | 72 E Concord St # R304, Boston, MA 02118 | 2014-04-18 |
| 1831526193 | Apex Medical Associates LLC | Internal Medicine | 100 Highland St Ste 103, Milton, MA 02186-3801 | 2013-10-02 |
| 1992145437 | Lahey Clinic, Inc | Internal Medicine | 75 Herrick St., Suite 215, Lahey At Beverly, Beverly, MA 01915 | 2013-06-28 |
| 1619210846 | Wei He | Internal Medicine | 725 Albany St Fl 9, Boston, MA 02118-2526 | 2013-04-06 |
| 1528313210 | Assad Oskuei | Internal Medicine | 203 Plymouth Ave, Fall River, MA 02721-4300 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 02050 |
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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.