CAROLINE LANSING KELLY (NPI# 1689966459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689966459 |
| Entity Type | Individual |
| Full Name | CAROLINE LANSING KELLY |
| Credential | MD |
| Practice Address |
1075 Grandview Ave Ste 200 Grants Pass OR 97527-5118 |
| Practice Telephone | 5414798363 |
| Practice Fax Number | 5414762841 |
| Mailing Telephone | 5414798363 |
| Mailing Fax Number | 5414762841 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD172322 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEA NUMBER | FK5311523 | 01 |
| OR | OREGON MEDICAL LICENSE | MD172322 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835363 | Caroline Kelly | Registered Nurse | 40 Eliot Hill Rd, Natick, MA 01760-5534 | 2015-07-09 |
| 1629273347 | Caroline M Kelly | Registered Nurse | 4 Vincent Pl, Oakdale, NY 11769-1713 | 2007-06-21 |
| 1962018523 | Caroline Grace Kelly | Audiologist | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-09-18 |
| 1700428471 | Caroline Kelly | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460-1046 | 2019-10-14 |
| 1164916789 | Caroline Kelly | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2018-06-18 |
| 1598270449 | Caroline Julia Kelly | Speech-Language Pathologist | 6585 S Yale Ave, Tulsa, OK 74136-8384 | 2017-12-13 |
| 1245780089 | Caroline Conn Kelly | Behavioral Analyst | 32100 Telegraph Rd Ste 185, Bingham Farms, MI 48025-2453 | 2016-10-05 |
| 1558794511 | Caroline E Kelly | Counselor | 9702 Stonestreet Rd, Louisville, KY 40272-6808 | 2013-08-14 |
| 1386991040 | Caroline Marie Reese Kelly | Psychologist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2012-08-12 |
| Street Address |
1075 GRANDVIEW AVE STE 200 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760839328 | Amber Rachael Koonce | Physician Assistant | 1075 Grandview Ave Ste 200, Grants Pass, OR 97527-5118 | 2016-05-24 |
| 1730547142 | Ashley Warner | Nurse Practitioner | 1075 Grandview Ave Ste 200, Grants Pass, OR 97527-5118 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598177933 | Gerhard Tank | Obstetrics & Gynecology | 1357 Redwood Cir Apt 318, Grants Pass, OR 97527-5848 | 2014-05-20 |
| 1013339878 | Pregnancy Care Center of Grants Pass | Obstetrics & Gynecology | 714 S.e. 8th St, Grants Pass, OR 97526 | 2014-01-14 |
| 1346243771 | Felicia Cohen | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste 200, Grants Pass, OR 97527-5788 | 2005-05-31 |
| 1578713673 | Thomas Eagan | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste. 200, Grants Pass, OR 97527 | 2008-09-25 |
| 1528175437 | Women's Health Center of Southern Oregon PC | Obstetrics & Gynecology | 700 Ramsey Ave, Suite 101, Grants Pass, OR 97527-5786 | 2006-08-24 |
| 1053314377 | Tamara C. Medley | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste 200, Grants Pass, OR 97527 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1265082911 | Lesle Solgaard-tarrant | Obstetrics & Gynecology | 4065 Nw Glen Eden Dr, Corvallis, OR 97330-9164 | 2019-09-16 |
| 1316416902 | Community Birth Group | Obstetrics & Gynecology | 1803 Main St Ste A, Klamath Falls, OR 97601-2636 | 2018-11-13 |
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1073979233 | Indu Bala Mital | Obstetrics & Gynecology | 104 Wood Duck Ln, Roseburg, OR 97471-7845 | 2016-01-04 |
| 1639558836 | Luana Jennifer Hossain | Obstetrics & Gynecology | 2640 Biehn St Ste 1, Klamath Falls, OR 97601-1181 | 2015-05-21 |
| 1942697669 | Rebecca Elizabeth Elliott | Obstetrics & Gynecology | 1698 E Mcandrews Rd Ste 350, Medford, OR 97504-5590 | 2015-04-21 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.