MS. SUSAN M KELLY (NPI# 1679114581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679114581 |
| Entity Type | Individual |
| Full Name | MS. SUSAN M KELLY |
| Credential | NNP |
| Practice Address |
900 S Caton Ave Baltimore MD 21229-5201 |
| Mailing Address |
561 Hook Rd Westminster MD 21157-5963 |
| Practice Telephone | 6672346000 |
| Mailing Telephone | 3154302066 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
R239962 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1992265003 | Susan Elizabeth Kelly | Nurse Practitioner | 239 Clifford Price Loop, Mooresburg, TN 37811-2337 | 2019-03-24 |
| 1770956617 | Susan Dale Kelly | Social Worker | 524 Brighton Ave, Spring Lake, NJ 07762-1561 | 2015-10-31 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1992046007 | Susan Kelly | Nurse Practitioner | 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 | 2013-03-14 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| 1043386246 | Susan Kelly | Social Worker | 42 Wendell Avenue, Pittsfield, MA 01201 | 2006-11-28 |
| 1669566139 | Susan S Kelly | Physical Therapist | 1340 Lake Blvd., Davis, CA 95616 | 2006-10-02 |
| 1548200074 | Susan C Kelly | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2006-06-06 |
| Street Address |
900 S CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150004 | Anamika Khatri-dua | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2006-01-27 |
| 1952901860 | Jonathan Vargas Salangsang | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-10-29 |
| 1861092025 | Apostolos Paspaltzis | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-10-27 |
| 1841806999 | Kishor Pokharel | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-23 |
| 1154936888 | Stepan Snitcar | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-10 |
| 1073127783 | Mueen Megdadi | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-09-01 |
| 1366055915 | Anna Axentiev | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-08-24 |
| 1710596069 | Princess Little | Social Worker | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-07-23 |
| 1912523424 | Aashish Acharya | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-06-20 |
| 1811513328 | Abdullah Ahmadou | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301306 | Suneetha Desiraju | Pediatrics | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2013-03-31 |
| 1013277441 | Christine Capriolo | Pediatrics | 22 S Greene St # N4wicu, Baltimore, MD 21201-1544 | 2012-05-18 |
| 1235315581 | Bruce Ryland Boynton | Pediatrics | 4209 Newgate Ave, Canton Pier 11, Baltimore, MD 21224-6416 | 2008-01-17 |
| 1962446328 | Akhil Maheshwari | Pediatrics | 1800 Orleans St # 8s852, Baltimore, MD 21287 | 2006-06-16 |
| 1306308937 | Jennifer Elizabeth Bivens | Pediatrics | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2019-04-02 |
| 1073964441 | Rebecca Suflas | Pediatrics | 110 S Paca St Fl 8, Baltimore, MD 21201 | 2016-06-28 |
| 1962896282 | Cecilia Kwak | Pediatrics | 1800 Orleans St, The Johns Hopkins Hospital, Baltimore, MD 21287-0010 | 2015-03-25 |
| 1245640770 | Francesca Okolie | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-05-06 |
| 1073932661 | Deepika Chadive | Pediatrics | 2401 West Belvedere Ave, Baltimore, MD 21215-2121 | 2014-04-10 |
| 1215279484 | Michelle Marie Gontasz | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2013-03-26 |
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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.