ANDREA KELLY


Address: 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Endocrinology, Philadelphia, PA 19104-4319
Phone: 2155903174

ANDREA KELLY (NPI# 1720096225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720096225
Entity Type Individual
Full Name ANDREA KELLY
Credential M.D.
Practice Address 3401 Civic Center Blvd
Children's Hospital of Philadelphia - Endocrinology
Philadelphia
PA 19104-4319
Mailing Address 100 E Penn Sq
9th Floor
Philadelphia
PA 19107-3323
Practice Telephone 2155903174
Practice Fax Number 2155903053
Mailing Telephone 2674259234
Mailing Fax Number 2674259299
Enumeration Date 2006-08-03
Last Update Date 2013-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics MD063874L PA Allopathic & Osteopathic Physicians
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
MD063874L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8530700 05
PA 001847749 05

Other Providers ANDREA KELLY

NPI Name Taxonomy Address Enumeration
1952874752 Andrea A Kelly Marriage & Family Therapist 1680 Stone Canyon Dr, Roseville, CA 95661-4041 2019-01-04
1689956641 Andrea Maluta Kelly Physician Assistant 2015 Randolph Rd Ste 208, Charlotte, NC 28207-1241 2011-09-15
1487935516 Andrea Lee Kelly Psychologist 444 South Union St., Suite 230, Burlington, VT 05401 2011-09-02
1104135979 Andrea W Kelly Registered Nurse 704 Old Lilesville Road, Wadesboro, NC 28170-2820 2010-09-28
1023098811 Andrea Kelly Dentist 2908 Auburn Rd, Huntington, WV 25704-2715 2006-01-19
1730533019 Andrea Kelly Recreation Therapist 1400 Noyes St, Utica, NY 13502-3854 2016-04-22
1962830737 Andrea Kelly Physical Therapist 100 Sprunt St, Chapel Hill, NC 27517-7811 2013-10-14
1891050720 Andrea Isabel Kelly Behavioral Analyst 11240 Waples Mill Road, Suite 102, Fairfax, VA 22030 2012-07-06
1528080363 Andrea Kelly Specialist 75 Francis St, Boston, MA 02115-6110 2006-07-24

Office Location

Street Address 3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - ENDOCRINOLOGY
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437367398 Anita Azam Pediatrics 3601 A. Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2007-05-21
1316022494 Judith L. Ross Pediatrics Dupont At Jefferson, 833 Chestnut Street East Suite 300, Philadelphia, PA 19107-4413 2006-10-26
1457349359 Iraj Rezvani Pediatrics Erie Ave At Front St, Scpa Endocrinology, Philadelphia, PA 19134-1095 2005-10-13
1871137273 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1083104418 Stephanie Lauren Robbins Pediatrics 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 2018-05-10
1194239954 Ghada Faik Naji Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2017-11-30
1346750528 Ohoud Saleh Alzahrani Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-10-02
1619400611 Julia Crowley Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-04-06
1194110023 Sandra Vazquez Diaz Pediatrics 3401 Civic Center Blvd, Division of Pediatric Endocrinology, Philadelphia, PA 19104 2015-03-28
1467846949 Jaclyn Tamaroff Pediatrics 3401 Civic Center Blvd, Pediatric Endocrinology, Philadelphia, PA 19104 2015-03-23
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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