KELSEY H O'BRIEN (NPI# 1710972575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710972575 |
| Entity Type | Individual |
| Full Name | KELSEY H O'BRIEN |
| Credential | M.D. |
| Practice Address |
17 Davis Blvd Tampa FL 33606 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8132598700 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME137463 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101612700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | WV6QE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 407 N. Washington Street, Ste. 100, Falls Church, VA 220463303 | 7032375919 | 7032411863 |
| 2 Tampa General Cir, Tampa, FL 336063603 | 8139742201 | 8139742812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221384 | Kelsey O'brien | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-01 |
| 1679183693 | Kelsey Theresa O'brien | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2020-08-04 |
| 1699392811 | Kelsey O'brien | Dentist | 2641 N 44th St Ste 101, Phoenix, AZ 85008-1573 | 2020-07-03 |
| 1376186163 | Kelsey Jane O'brien | Speech-Language Pathologist | 2753 State Road 580 Ste 111, Clearwater, FL 33761-3351 | 2019-10-24 |
| 1396229951 | Kelsey O'brien | Occupational Therapist | 61 Old Amherst Rd, Sunderland, MA 01375-7501 | 2018-09-19 |
| 1235630674 | Kelsey O'brien | Behavior Technician | 10320 W Mcdowell Rd Ste K1136, Avondale, AZ 85392-4876 | 2018-02-21 |
| 1699288746 | Kelsey Lynn O'brien | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2017-11-12 |
| 1194079285 | Kelsey O'brien | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2012-10-29 |
| Street Address |
17 DAVIS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435597 | Jonathan Marks | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-04-06 |
| 1831727684 | Matthew Franklin Gliksman | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-28 |
| 1225666241 | Linzi Jiang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-27 |
| 1073147468 | Kyle Peter Michelson | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-02-25 |
| 1447717764 | John Michael Graff | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2019-02-22 |
| 1679050983 | Maher Khalaf | Nurse Practitioner | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-07-20 |
| 1922596857 | Ala Saleh | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-26 |
| 1679060032 | Aditya Grover | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-04-20 |
| 1184121345 | Arjun Khadilkar | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-12 |
| 1073018024 | Margaret Louise Hebert | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1619498581 | Roger Avon Hughes IIi | Pediatrics | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2017-06-30 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1962933598 | Shaara Katherine Barron | Pediatrics | 17 Davis Blvd # 259-8725, Suite 308, Tampa, FL 33606-3475 | 2017-03-24 |
| 1194106203 | Luisa Gomez Mcelroy Md Pl | Pediatrics | 10860 Sheldon Rd, Tampa, FL 33626-5117 | 2015-06-15 |
| 1467857268 | Children Health Center | Pediatrics | 11464 N 53rd St, Tampa, FL 33617-2216 | 2014-10-23 |
| 1407250996 | Pediatric & Adolescent Health Associates, LLC | Pediatrics | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2014-10-13 |
| 1215268370 | Barbara Anne Nabrit-stephens | Pediatrics | 4704 Dunnie Dr, Tampa, FL 33614-1496 | 2010-01-28 |
| 1467685693 | Anecita Tan-donahue | Pediatrics | 13610 South Village Drive, Unit #312, Tampa, FL 33618 | 2009-09-04 |
| 1134363542 | Juliet Soscia Collins | Pediatrics | 10909 W. Linebaugh Avenue, Suite 100, Tampa, FL 33626-1741 | 2009-04-29 |
| Find all providers in TAMPA | ||||
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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.