DR. JOHN SIMPSON KELLEY (NPI# 1750380705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750380705 |
| Entity Type | Individual |
| Full Name | DR. JOHN SIMPSON KELLEY |
| Credential | M.D. |
| Practice Address |
3324 Six Forks Rd Raleigh NC 27609-7233 |
| Mailing Address |
3320 Six Forks Rd Raleigh NC 27609-7233 |
| Practice Telephone | 9197817772 |
| Practice Fax Number | 9197876331 |
| Mailing Telephone | 9197817772 |
| Mailing Fax Number | 9197876331 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2015-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
19358 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
19358 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1225415557 | John Christopher Kelley | Psychologist | 8600 Fathom Cir, 2404, Austin, TX 78750-3037 | 2015-05-06 |
| 1770876559 | John P Kelley | Counselor | 4550 E Fifth St, Tucson, AZ 85711 | 2011-05-26 |
| 1437378965 | John M Kelley Jr. | Dentist | 1533 Merrimac Cir, Suite 207, Fort Worth, TX 76107-6571 | 2007-04-24 |
| 1518007467 | John Stewart Kelley | Counselor | 1949 Snowberry Ln, Joplin, MO 64804-5420 | 2007-02-08 |
| 1801942289 | John Roy Kelley Jr. | Dentist | 3733 Southside Blvd, Suites 5 & 6, Jacksonville, FL 32216-4684 | 2007-01-26 |
| 1568516060 | John Paul Kelley | Case Manager/Care Coordinator | 709 Nw Everett St, Portland, OR 97209-3517 | 2007-01-22 |
| 1598869877 | John Paul Kelley | Physical Medicine & Rehabilitation | 7301 East 2nd St, Ste 315, Scottsdale, AZ 85251-5627 | 2006-09-08 |
| 1740229038 | John W Kelley | Internal Medicine | 191 Deep South Farm Rd, Blairsville, GA 30512-2220 | 2006-06-05 |
| 1063414555 | John S Kelley | Obstetrics & Gynecology | 517 Rose St, Las Vegas, NV 89106-4020 | 2005-08-15 |
| Street Address |
3324 SIX FORKS RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
| 1831500867 | Wake Specialty Physicians, LLC | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2014-05-13 |
| 1588968184 | Wakemed Faculty Practice Plan | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2010-12-23 |
| 1700104221 | Dwijesh Bhupendrakumar Patel | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609 | 2010-05-07 |
| 1396928966 | Jeffrey Robert Blackburn | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2007-12-06 |
| 1336130178 | Carolina Cardiology Consultants, Pa | Specialist | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-11-01 |
| 1437158508 | William Jonathan Parsons | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-20 |
| 1649279696 | Willard Lee Kennedy | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-20 |
| 1447259502 | Jack Watson Noneman | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-20 |
| 1497754659 | George Lee Hamrick Jr. | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1316943822 | Mark E. Leithe | Internal Medicine | 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 | 2005-06-21 |
| 1245793009 | Cnc Care of Nc II, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1679036438 | Cnc Care of Nc, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1932662798 | Cnc Care of Nc IIi, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1710411160 | Rex Hospital Inc | Internal Medicine | 2800 Blue Ridge Road, Suite 201, Raleigh, NC 27607-6477 | 2017-04-12 |
| 1598060808 | Rex Physicians LLC | Internal Medicine | 3000 New Bern Ave, Suite G-100, Raleigh, NC 27610-1231 | 2011-01-18 |
| 1245236801 | John R Sinden | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-28 |
| 1851397152 | Brian M Go | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-22 |
| 1447256946 | Virgil H Wynia | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-21 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on DR. JOHN SIMPSON KELLEY.
| 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.