THOMAS J KELLY (NPI# 1760421432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760421432 |
| Entity Type | Individual |
| Full Name | THOMAS J KELLY |
| Credential | MD |
| Practice Address |
11234 Anderson St Ste B623 Loma Linda CA 92354-2804 |
| Mailing Address |
11234 Anderson Street Suite B623 Loma Linda CA 92354 |
| Practice Telephone | 9095584000 |
| Practice Fax Number | 9095583905 |
| Mailing Telephone | 9095584000 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G073741 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MA53386 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD | P01603268 | 01 |
| CA | IHG/HEALTHSMART | 10540392 | 01 |
| NJ | 5519004 | 05 | |
| CA | 1760421432 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
11234 ANDERSON ST STE B623 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386875110 | Faculty Medical Group of Llusm | Radiology | 25455 Barton Rd Ste 107b, Loma Linda, CA 92354-3139 | 2009-07-28 |
| 1497986228 | Faculty Medical Group of Llusm | Radiology | 11370 Anderson St Ste 1700, Loma Linda, CA 92354-3450 | 2009-07-28 |
| 1487803946 | Erica Lynne Kinne | Radiology | 11234 Anderson St Rm 2605, Loma Linda University Medical Center, Loma Linda, CA 92354-2804 | 2008-09-09 |
| 1114930500 | Vy N. Vu | Radiology | Jerry L Pettis Memorial Center Radiology Dept, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-08-15 |
| 1740292937 | Chih-chiang Hsu | Radiology | Vallhcs, 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-08-13 |
| 1649294802 | Khin M Tint | Radiology | 114 Vamc 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-07-27 |
| 1558384768 | Pradeep Badhwar | Radiology | Va Hospital 11201 Benton St, Loma Linda, CA 92357-0001 | 2006-07-26 |
| 1558317883 | Loma Linda University Radiology Medical Group Inc | Radiology | 25333 Barton Road, Loma Linda, CA 92354 | 2006-05-26 |
| 1255396479 | Loma Linda High Field Open Mri and Diagnostic Center Inc | Radiology | 10459 Mountain View Avenue, Suite E, Loma Linda, CA 92354 | 2006-04-19 |
| 1295718161 | William M. Kelly M.d., Inc. | Radiology | 11360 Mountain View Ave, Suite C, Loma Linda, CA 92354-3861 | 2005-11-23 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on THOMAS J 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.