JASON KELLY (NPI# 1659324473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659324473 |
| Entity Type | Individual |
| Full Name | JASON KELLY |
| Credential | M.D. |
| Practice Address |
501 E Hampden Ave Englewood CO 80113-2702 |
| Mailing Address |
10700 E Geddes Ave No 200 Englewood CO 80112-3800 |
| Practice Telephone | 3037619190 |
| Practice Fax Number | 3037616322 |
| Mailing Telephone | 3037619190 |
| Mailing Fax Number | 3037616322 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
42731 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1659324473 | 05 | |
| CO | RR RIA MEDICARE | P00141622 | 01 |
| WI | 99111450 | 05 | |
| MI | 104705317 | 05 | |
| SD | 1650324473/7729360 | 05 | |
| NV | 1659324473 | 05 | |
| AZ | 261632 | 05 | |
| WA | DEPT OF LABOR | 0257149 | 01 |
| NE | 10025709000 | 05 | |
| NM | 39230864 | 05 | |
| UT | 1659324473 | 05 | |
| TX | 1659324473 | 05 | |
| CO | 38324041 | 05 | |
| MO | 200094308 | 05 | |
| KS | 200418360A | 05 | |
| CA | XPY202415 | 05 | |
| CO | RR MCR MIC | P00760021 | 01 |
| WY | 1659324473 | 05 | |
| NE | 84-059792913 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644251 | Jason Kelly | Spec/Tech, Cardiovascular | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-16 |
| 1861034571 | Jason Lee Kelly | Pharmacist | 100 Walmart Dr, Kingwood, WV 26537-1143 | 2019-10-14 |
| 1811452378 | Jason P Kelly | Massage Therapist | 709 N Main St, North Syracuse, NY 13212-1669 | 2019-02-08 |
| 1598050544 | Jason Kelly | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2011-06-17 |
| 1669785556 | Jason Kelly | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-07-20 |
| 1538399738 | Jason Stuart Kelly | Anesthesiology | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-07-22 |
| 1346442159 | Jason Matthew Kelly | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2007-06-04 |
| 1033277876 | Jason Alexander Kelly | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-12-05 |
| 1063590859 | Jason F. Kelly | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1073543831 | Jason Kelly | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-07-04 |
| Street Address |
501 E HAMPDEN AVE |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345680 | Benjamin E Kassanoff | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2005-05-31 |
| 1629678701 | Dana Miller | Registered Nurse | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-10-28 |
| 1972119394 | Healthone Heart Care LLC | Internal Medicine | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-09-21 |
| 1063028686 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-09-18 |
| 1679189658 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-09-16 |
| 1093320988 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-09-09 |
| 1275145286 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-08-20 |
| 1447861406 | Neurosurgery One PC | Neurological Surgery | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-08-13 |
| 1588275895 | Neurosurgery One PC | Neurological Surgery | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-08-11 |
| 1457961609 | Bria Cherney | Student in an Organized Health Care Education/Training Program | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417104399 | Sean Enis | Radiology | 189 Lyman Pl, Englewood, NJ 07631-3609 | 2008-08-22 |
| 1609928126 | Bergen Imaging Ctr Pa | Radiology | 180 North Dean St, Englewood, NJ 07631 | 2007-01-17 |
| 1982641916 | Bao C Nguyen | Radiology | 9780 Mt Pyramid Ct, Suite 160, Englewood, CO 80112-7054 | 2006-05-31 |
| 1316926272 | Allison Luanne Summers | Radiology | 383 Inverness Pkwy, Suite 280, Englewood, CO 80112-5865 | 2006-01-10 |
| 1821073180 | Joel A. Budin | Radiology | 355 Broad Ave, Englewood, NJ 07631-4348 | 2005-12-09 |
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1487640462 | Dulcy E Wolverton | Radiology | 10700 E. Geddes Ave, Attn: Credentialing, Englewood, CO 80112-3681 | 2005-09-23 |
| 1518963214 | South Denver Integrated Imaging LLC | Radiology | 14251 E Fremont Ave, Englewood, CO 80112-4443 | 2005-06-27 |
| 1356345680 | Benjamin E Kassanoff | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2005-05-31 |
| 1922556083 | Ugorji Radiology Consultants, LLC | Radiology | 7550 S Blackhawk St, #6-208, Englewood, CO 80112-4068 | 2016-09-19 |
| Find all providers in ENGLEWOOD | ||||
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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.