MARK KELLY (NPI# 1760942403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760942403 |
| Entity Type | Individual |
| Full Name | MARK KELLY |
| Practice Address |
757 Westwood Plz Los Angeles CA 90095-8358 |
| Mailing Address |
2722 Mason St Madison WI 53705-3716 |
| Practice Telephone | 3108259111 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356449755 | Mark Christopher Kelly | Physical Therapist | 1 Brace Rd Ste A, Cherry Hill, NJ 08034 | 2006-09-20 |
| 1174027320 | Mark Kelly | Student in an Organized Health Care Education/Training Program | 677 Church Street, Attn: Gme, Marietta, GA 30060 | 2018-03-22 |
| 1366804742 | Mark Ryan Kelly | Counselor | 1908 N Laurent St, Suite 120, Victoria, TX 77901-5468 | 2016-03-24 |
| 1639300932 | Mark Kim Kelly | Radiology | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2009-08-04 |
| 1770641136 | Mark Kelly | Radiology | 25 N Winfield Road, Winfield, IL 60190 | 2006-12-05 |
| 1093889263 | Mark Joseph Kelly | Urology | 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403-4812 | 2006-11-20 |
| 1578656393 | Mark T Kelly | Dentist | 3637 Nw 39th St, Oklahoma City, OK 73112-6309 | 2006-10-02 |
| 1407958325 | Mark Paul Kelly | Clinical Neuropsychologist | 6900 Georgia Ave Nw, Walter Reed Army Medical Center, Washington, DC 20307-0003 | 2006-09-01 |
| 1457394090 | Mark Kelly | Emergency Medicine | 1220 Jefferson St, Laurel, MS 39440-4355 | 2006-06-13 |
| 1346294022 | Mark Edward Kelly | Anesthesiology | 2 Columbia Dr, Tampa, FL 33606-3508 | 2006-05-19 |
| Street Address |
757 WESTWOOD PLZ |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-8358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803315 | Regents Univ of Calif Los Angeles | General Acute Care Hospital | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2005-06-30 |
| 1679189393 | Kristie Tamer | Nurse Practitioner | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-09-17 |
| 1689280562 | Sarah Rhodes | Nurse Practitioner | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-09-16 |
| 1205441599 | Kristi Lynn Kuiken | Nurse Practitioner | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-09-13 |
| 1073128989 | Abigail Coleman | Registered Nurse | 757 Westwood Plz, Los Angeles, CA 90095-3152 | 2020-09-09 |
| 1689293946 | Michelle Basa Llerenas | Registered Nurse | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-04-15 |
| 1558980284 | Jennifer R. Kallini | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-7419 | 2020-04-13 |
| 1912526948 | Veronica Indira Sanchez | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-04-09 |
| 1255960456 | Tirth K Patel | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-04-08 |
| 1295364545 | Sophia Taleghani | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-1548 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on MARK 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.