MR. MATTHEW KELLEY (NPI# 1649777905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649777905 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW KELLEY |
| Practice Address |
Ut Southwestern Medical Center 5323 Harry Hines Blvd Dallas TX 75390-0001 |
| Mailing Address |
5343 Elm Spring Ln Frisco TX 75034-1201 |
| Practice Telephone | 2146453979 |
| Practice Fax Number | 2146487620 |
| Mailing Telephone | 4694179306 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687589 | Matthew Dean Kelley | Social Worker | 900 W Broadway St Bldg 7, Newton, KS 67114-2010 | 2017-06-01 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| 1952594947 | Matthew Patrick Kelley | Dentist | 21909 64th Ave W, Mountlake Terrace, WA 98043-2278 | 2007-08-22 |
| 1801319074 | Matthew Harrison Kelley | Physical Therapist | 5001 Rockside Rd # In10, Independence, OH 44131-2172 | 2017-07-19 |
| 1417376476 | Matthew Kelley | Surgery | 201 E University Pkwy, Dept of Surgery, Baltimore, MD 21218-2829 | 2014-04-07 |
| 1548507411 | Matthew Tyler Kelley | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2013-01-11 |
| 1508124827 | Matthew Kelley | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| 1124258918 | Matthew Brian Kelley | Counselor | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 | 2009-07-15 |
| 1790923696 | Matthew Kelley | Physical Therapy Assistant | 101 Uhland Rd, Suite 112, San Marcos, TX 78666-6630 | 2009-01-30 |
| Street Address |
UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265407092 | Kevin Allen | Emergency Medicine | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390 | 2006-02-23 |
| 1194334458 | Trent Cameron Schneider | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-07-23 |
| 1689282212 | Christopher Brandon Prado | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-07-20 |
| 1922625862 | Alixander Oschmann | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-06-26 |
| 1043835002 | Omar Shaikh | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-06-15 |
| 1790304376 | John Anthony Donovan Jr. | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-04-13 |
| 1417584574 | Dario A Alvarez | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-03-26 |
| 1730648015 | Graham Reed Ellington | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-9030 | 2019-03-17 |
| 1699268193 | Margaret Wang | Psychiatry & Neurology | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2018-06-08 |
| 1548783863 | Michael Thomas Kimbrell | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1114536331 | Victor Liaw | Student in an Organized Health Care Education/Training Program | 5233 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1285243469 | Tommy Tan | Student in an Organized Health Care Education/Training Program | 5226 Fleetwood Oaks Ave Apt 114, Dallas, TX 75235-8105 | 2020-07-23 |
| 1982213138 | Sophia Cosmich | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5325 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1093323552 | Joshua D Cox | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4315, Dallas, TX 75235-8054 | 2020-07-21 |
| 1386252997 | Johnston Bartlett Norton | Student in an Organized Health Care Education/Training Program | 4214 Rawlins St Apt 116, Dallas, TX 75219-2738 | 2020-07-20 |
| 1063020014 | Bilaal Hassan | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd D, Dallas, TX 75390-0001 | 2020-07-15 |
| 1255959805 | Richard Tanner Hardy | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harr Hines Blvd, Dallas, TX 75390-0001 | 2020-07-09 |
| 1902424534 | Paula Marie Mofor | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-09 |
| 1912525015 | Yasmeen Jordan Alayli | Student in an Organized Health Care Education/Training Program | 4606 Cedar Springs Rd Apt 924, Dallas, TX 75219-7205 | 2020-07-06 |
| Find all providers in DALLAS | ||||
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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.