MICHAEL FREDRICK KELLEY (NPI# 1790763704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790763704 |
| Entity Type | Individual |
| Full Name | MICHAEL FREDRICK KELLEY |
| Credential | M.D. |
| Practice Address |
3009a Highway 30 W Huntsville TX 77340-3517 |
| Practice Telephone | 9364373570 |
| Mailing Telephone | 5122680114 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
G6189 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934907 | Michael Francis Kelley Jr. | Student in an Organized Health Care Education/Training Program | 4833 Ithaca St, Metairie, LA 70006-2617 | 2019-04-04 |
| 1588164826 | Michael L Kelley | Registered Nurse | 7760 Margerum Ave Unit 224, San Diego, CA 92120-1441 | 2018-02-13 |
| 1912174731 | Michael Jason Kelley | Radiologic Technologist | 1209 Heatherview Dr, Oak Park, CA 91377-3914 | 2008-05-12 |
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1649351933 | Michael O'hara Kelley | Marriage & Family Therapist | 690 W Fremont Ave Ste 6, Sunnyvale, CA 94087-4202 | 2006-10-17 |
| 1316053770 | Michael Gaylor Kelley | Dentist | 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 | 2006-08-21 |
| 1558324368 | Michael Ryan Kelley | Optometrist | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2006-04-11 |
| 1306822812 | Michael Timothy Kelley | Preventive Medicine | 1166 Dublin Rd, Suite 400, Columbus, OH 43215-1030 | 2005-12-16 |
| 1376542639 | Michael R. Kelley | Psychologist | 10506 Burt Cir, Omaha, NE 68114-2094 | 2005-07-19 |
| 1265071823 | Michael Dale Kelley | Nurse Practitioner | 129 8th Ave Se, Oelwein, IA 50662-2352 | 2019-12-31 |
| Street Address |
3009A HIGHWAY 30 W |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847672 | East Texas Functional Medicine Center, Pllc | Preventive Medicine | 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 | 2020-09-29 |
| 1710502695 | Carol Pena | Preventive Medicine | 412 Capricorn St, Cedar Hill, TX 75104-8106 | 2020-06-16 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1942845565 | Preferred Cardio Checkup Management LLC | Preventive Medicine | 211 Bent Creek Dr, Waxahachie, TX 75165-6353 | 2019-11-07 |
| 1982256129 | Lifeworx | Preventive Medicine | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1588122774 | Jason James Moran | Preventive Medicine | 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 | 2019-03-06 |
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1013423284 | Anew You Medical Weight Loss and Spa | Preventive Medicine | 14602 Huebner Rd, 100, San Antonio, TX 78230 | 2017-12-23 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
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| 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.