DR. CAITILIN KELLY (NPI# 1811066350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811066350 |
| Entity Type | Individual |
| Full Name | DR. CAITILIN KELLY |
| Credential | M.D. |
| Practice Address |
3161 S Highpoint Ln Bloomington IN 47401-9605 |
| Practice Telephone | 8122878788 |
| Practice Fax Number | 8123330725 |
| Mailing Telephone | 8122878788 |
| Mailing Fax Number | 8123330725 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01034177 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 10018446A | 05 |
| Street Address |
3161 S HIGHPOINT LN |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950542 | Yaser Abu El-sameed | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403 | 2007-03-16 |
| 1073525770 | Rajeev Varma | Internal Medicine | 1505 Eastland Dr Ste 320, Bloomington, IL 61701-7912 | 2006-08-12 |
| 1477575231 | Helen Renee Kirk | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2006-07-24 |
| 1215924675 | Eric Trueblood | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640202 | Bkrd, Inc | Internal Medicine | 302 Garden Trl, Michigan City, IN 46360-2710 | 2015-09-25 |
| 1053744367 | Jagadeesh Yella | Internal Medicine | 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 | 2013-08-11 |
| 1114367067 | Fouad Kutuby | Internal Medicine | 8840 Calumet Ave Ste 206, Munster, IN 46321-2546 | 2013-06-25 |
| 1235481755 | Dedrick K. Bowe | Internal Medicine | 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 | 2012-10-08 |
| 1871856351 | Muhammad J Habib | Internal Medicine | 355 Westfield Rd Ste 114, Noblesville, IN 46060-1442 | 2012-06-20 |
| 1629356332 | Sangeeth Rao Dubbireddi | Internal Medicine | 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 | 2011-07-29 |
| 1972894087 | Amanpreet Kaur | Internal Medicine | 3500 N Franciscan Way, Ste 400, Michigan City, IN 46360-0021 | 2011-04-22 |
| 1164735692 | Edgardo Manuel Flores Anticona | Internal Medicine | 2101 Jackson St Ste 110, Anderson, IN 46016-4386 | 2010-07-26 |
| 1598986713 | Eugene C Fletcher Md LLC | Internal Medicine | 428 Vincennes St, New Albany, IN 47150-3054 | 2007-05-02 |
| 1912032434 | Brian Allen Youn | Internal Medicine | 821 S Scott Rd, Fort Wayne, IN 46814-9398 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.