COLLEEN ELIZABETH KELLY (NPI# 1801839121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801839121 |
| Entity Type | Individual |
| Full Name | COLLEEN ELIZABETH KELLY |
| Credential | MD |
| Practice Address |
21 Totman Street #2 Quincy MA 02169 |
| Practice Telephone | 6177450050 |
| Practice Fax Number | 6177450052 |
| Mailing Telephone | 6177450050 |
| Mailing Fax Number | 6177450052 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 226962 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451980 | Colleen Anne Kelly | Student in an Organized Health Care Education/Training Program | Menino Building, Dowling 3 South Resident Mailboxes, 1 Boston Medical Center Place, Boston, MA 02118 | 2018-03-20 |
| 1982068474 | Colleen Kelly | Counselor | 3208 Lake Park Way, 105, Longmont, CO 80503-7822 | 2016-04-11 |
| 1023498565 | Colleen Emma Kelly | Behavioral Analyst | 48 Aberdeen Rd, Arlington, MA 02476-5752 | 2015-05-29 |
| 1386714590 | Colleen J Kelly | Nurse Practitioner | Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468 | 2006-11-08 |
| 1205440591 | Colleen Kelly | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2020-09-03 |
| 1265068696 | Colleen Kelly | Physical Therapist | 460 Amherst St, Nashua, NH 03063-1220 | 2020-03-17 |
| 1790320414 | Colleen Kelly | Occupational Therapist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2019-11-18 |
| 1407400419 | Colleen Lora Jaimie Kelly | Nurse Practitioner | 2111 Neuse Blvd Ste J, New Bern, NC 28560-4318 | 2019-07-29 |
| 1811457815 | Colleen Hamm Kelly | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-03-25 |
| 1083196968 | Colleen Kelly | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2018-09-06 |
| Street Address |
21 TOTMAN STREET #2 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689760043 | Frank Anthony Degiacomo | Pediatrics | 21 Totman Street, #2, Quincy, MA 02169 | 2006-10-05 |
| 1659381903 | Sarah Ann Mcsweeney-ryan | Pediatrics | 21 Totman Street, #2, Quincy, MA 02169 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386768752 | Community Pediatrics PC | Pediatrics | 54 Billings Rd, Quincy, MA 02171-2302 | 2007-03-19 |
| 1063560530 | George Hom | Pediatrics | 101 Adams Street, Suite 20, Quincy, MA 02169 | 2007-01-08 |
| 1164436986 | Anne Ireys Lennon | Pediatrics | 54 Billings Road, Quincy, MA 02171 | 2006-07-28 |
| 1679536981 | Michelle L Richardson | Pediatrics | 21 Totman Street Ste 2, Quincy, MA 02169 | 2006-04-08 |
| 1861461808 | Maddie Y Hao | Pediatrics | 435 Hancock St, Quincy, MA 02171-2428 | 2006-03-14 |
| 1821089863 | Hanpu Chao | Pediatrics | 59 Coddington St, Suite 204, Quincy, MA 02169-4510 | 2005-10-31 |
| 1497748834 | Julianne M Hertko-adams | Pediatrics | 191 Independence Ave, Quincy, MA 02169-7751 | 2005-08-30 |
| 1265966691 | Marcus Neafsey | Pediatrics | 21 Totman St, Quincy, MA 02169-7564 | 2017-04-12 |
| 1730594128 | Samuel Healy | Pediatrics | 1025 Maine St, Quincy, IL 62301 | 2014-06-25 |
| 1568877959 | Lindsay M Brink | Pediatrics | 1025 Maine St, Quincy, IL 62301-4038 | 2014-06-24 |
| Find all providers in QUINCY | ||||
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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.