KELLI SAROCKY (NPI# 1659689958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659689958 |
| Entity Type | Individual |
| Full Name | KELLI SAROCKY |
| Credential | PA |
| Practice Address |
115 Center Ave Pittsburgh PA 15215 |
| Mailing Address |
115 Center Avenue Pittsburgh PA 15215 |
| Practice Telephone | 4123648480 |
| Practice Fax Number | 4123648490 |
| Mailing Telephone | 4123648480 |
| Mailing Fax Number | 4123648490 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2011-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054441 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICESNSE MA054441 | MA054441 | 01 |
| PA | LIC# | MA054441 | 01 |
| Street Address |
115 CENTER AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739202 | Layla Marie Franco | Massage Therapist | 411 Freeport Rd, Pittsburgh, PA 15215 | 2020-10-29 |
| 1699396978 | Joseph Newark Legg II | Student in an Organized Health Care Education/Training Program | 1010 Delafield Road, Hj Heinz Dental 132d-a, Pittsburgh, PA 15215 | 2020-04-28 |
| 1174188817 | Jonathan Michael Weiss | Student in an Organized Health Care Education/Training Program | Upmc St. Margaret Family Medicine Residency, 815 Freeport Road, Pittsburgh, PA 15215 | 2019-05-08 |
| 1720558356 | Madayln Bond Kalmar | Nurse Practitioner | 420 E North Avenue, Suite 205, Pittsburgh, PA 15215 | 2018-11-27 |
| 1558774547 | Enayetullah Neak | Family Medicine | 815 Freeport Rd., Pittsburgh, PA 15215 | 2014-06-06 |
| 1952730095 | Kelli Bradley | Physician Assistant | 200 Medical Arts Bldg, 200 Delafield Rd, Suite 4010, Pittsburgh, PA 15215 | 2013-11-08 |
| 1972731248 | Paul M. Bernstein and Associates | Counselor | 103 Brilliant Avenue, 2nd Floor Suite C, Aspinwall, PA 15215 | 2009-06-25 |
| 1184861544 | Adam Abdulally | Family Medicine | 7219 Mcknight Rd., Pittsburgh, PA 15215 | 2009-01-07 |
| 1629283072 | John R Mellett | Dentist | 101 Emerson Avenue, Pittsburgh, PA 15215 | 2007-05-11 |
| 1679610703 | Gary T. Bergstein | Chiropractor | 701 Freeport Road, Sharpsburg, PA 15215 | 2007-01-30 |
| Find all providers in zip 15215 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15215 |
Please comment or provide details below to improve the information on KELLI SAROCKY.
| 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.