SARAH A KELLY (NPI# 1710263975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710263975 |
| Entity Type | Individual |
| Full Name | SARAH A KELLY |
| Credential | P.A. |
| Practice Address |
1945 Bay Rd Mount Dora FL 32757-2105 |
| Practice Telephone | 3524835633 |
| Practice Fax Number | 3524835070 |
| Mailing Telephone | 3524835633 |
| Mailing Fax Number | 3524835070 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106205 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9106205 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760937437 | Sarah Kelly | Speech-Language Pathologist | 61 Lime St, Newburyport, MA 01950-2946 | 2016-08-23 |
| 1942689773 | Sarah K Kelly | Social Worker | 119 Clinton Ave, #3b, Brooklyn, NY 11205-2300 | 2015-05-26 |
| 1265821854 | Sarah M Kelly | Advanced Practice Midwife | 2117 Bedrock Way, Antioch, CA 94509-6261 | 2015-01-20 |
| 1295141489 | Sarah Kelly | Physical Therapist | 522 Grafton St, 1st Floor, Worcester, MA 01604-4746 | 2014-07-08 |
| 1942537808 | Sarah R Kelly | Physical Therapist | 1152 Chimney Rock Rd, Highlands Ranch, CO 80126-2550 | 2009-11-12 |
| 1790975761 | Sarah Shaw Kelly | Contractor | 6080 Virgil St, Arvada, CO 80403-7470 | 2007-07-26 |
| 1578634754 | Sarah Kelly | Massage Therapist | 114 Franklin Ave, Selden, NY 11784-1912 | 2006-11-10 |
| 1144230624 | Sarah Kathleen Kelly | Chiropractor | 600 Hillgrove Ave, Suite 3, Western Springs, IL 60558-1467 | 2006-08-08 |
| 1154309714 | Sarah V Kelly | Internal Medicine | 5503 Fm 359 Rd, Suite C, Richmond, TX 77406-7834 | 2006-01-04 |
| 1710979018 | Sarah E Kelly | Physician Assistant | 12455 E 100th St N Ste 120, Owasso, OK 74055-4675 | 2005-08-22 |
| Street Address |
1945 BAY RD |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529455 | Vrej K Manoogian | Orthopaedic Surgery | 1945 Bay Rd, Mount Dora, FL 32757-2105 | 2005-09-23 |
| 1003449760 | Carolyn Woods | Physical Medicine & Rehabilitation | 1945 Bay Rd, Mount Dora, FL 32757-2105 | 2020-02-20 |
| 1811407448 | Azalee L Brown | Nurse Practitioner | 1945 Bay Rd, Mount Dora, FL 32757-2105 | 2017-10-10 |
| 1205945763 | Manoogian Orthopedic Center, P.a. | Orthopaedic Surgery | 1945 Bay Rd, Mount Dora, FL 32757 | 2006-08-29 |
| 1215923396 | Samir C Guru | Orthopaedic Surgery | 1945 Bay Rd, Mount Dora, FL 32757-2105 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| Find all providers in zip 32757 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
Please comment or provide details below to improve the information on SARAH A KELLY.
| 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.