DR. KELLY R PATEL (NPI# 1770932725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770932725 |
| Entity Type | Individual |
| Full Name | DR. KELLY R PATEL |
| Credential | M.D. |
| Practice Address |
2800 Main St Bridgeport CT 06606-4201 |
| Practice Telephone | 4752105604 |
| Mailing Telephone | 4752105604 |
| Mailing Fax Number | 4752106368 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 66220 | CT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301110293 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488982001 | 2488982017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033493747 | Kelly Marie Patel | Nurse Practitioner | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2011-09-30 |
| 1336276096 | Kelly A. Patel | Nurse Practitioner | 1035 Bellevue Ave, Suite 305, Saint Louis, MO 63117-1854 | 2007-02-28 |
| Street Address |
2800 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678227 | Stuart Marcus | Surgery | 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 | 2005-09-09 |
| 1134733074 | Jessica Anne Mcdonald | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-08 |
| 1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
| 1083227920 | Richard Magee | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-08-29 |
| 1083223903 | Victoria Piacquadio | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-07-27 |
| 1972120509 | Svmc Holdings, Inc | Pharmacy | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-06-30 |
| 1083237168 | Ranji Raju | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-22 |
| 1437771698 | Michaela Anne Paduch | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-11 |
| 1376162982 | Lyndsay Hauser | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-04-14 |
| 1851938435 | Kaitlyn Mccarthy | Pharmacist | 2800 Main St, Bridgeport, CT 06606-4201 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126009 | Michaela Colleen Anderson | Emergency Medicine | 25 Dewhirst St, Bridgeport, CT 06606-4042 | 2019-04-19 |
| 1316227838 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 120 Medical Park Drive, Suite 100, Bridgeport, WV 26330 | 2011-08-29 |
| 1629175898 | Citcads, PC | Emergency Medicine | 39 Asia Cir, Bridgeport, CT 06610-1262 | 2006-09-20 |
| 1326024555 | Harry Marinakis | Emergency Medicine | 49 E Wexford Way, Bridgeport, WV 26330 | 2005-12-20 |
| 1003437633 | Jessica Lynn Carder | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-05-05 |
| 1255865275 | Brandon M Lewko | Emergency Medicine | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1902254220 | Nicholas Michael Chill | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-05-26 |
| 1962857649 | Jessica Aviles | Emergency Medicine | 2800 Main St, Bridgeport, CT 06606-4292 | 2016-04-29 |
| 1992168975 | Henna Kaur Kochar | Emergency Medicine | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-03-29 |
| 1689061343 | Jessica Neidhardt | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2015-04-21 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on DR. KELLY R PATEL.
| 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.