CHARLES W. KELLEY III D.P.M. (NPI# 1811142250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811142250 |
| Entity Type | Organization |
| Organization Name | CHARLES W. KELLEY III D.P.M. |
| Practice Address |
5602 Madison Ave Indianapolis IN 46227-4625 |
| Practice Telephone | 3177862239 |
| Practice Fax Number | 3177842055 |
| Mailing Telephone | 3177862239 |
| Mailing Fax Number | 3177842055 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | DR. CHARLES WALTER KELLEY III (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3177862239 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
07000355A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5602 MADISON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689805061 | Fredericka Alona Wilson | Podiatrist | 4010 W 86th St Ste A, Indianapolis, IN 46268-1779 | 2009-08-03 |
| 1023010980 | Charles Walter Kelley IIi | Podiatrist | 3401 E Raymond St, Indianapolis, IN 46203-4744 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192716 | Indiana Foot and Ankle Specialist LLC | Podiatrist | 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 | 2020-10-21 |
| 1174020549 | Make Yourself, LLC | Podiatrist | 128 W 5th St, Peru, IN 46970-2139 | 2018-04-11 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1780846139 | Accredited Foot Surgeons | Podiatrist | 9007 Indianapolis Blvd, Suite B, Highland, IN 46322-2575 | 2008-06-26 |
| 1952523508 | Aboite Podiatry Associates PC | Podiatrist | 7559 West Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2007-05-03 |
| 1487749305 | John L Trench IIi | Podiatrist | 1216 Wabash Ave, Terre Haute, IN 47807-3312 | 2006-10-04 |
| 1770699522 | Gregory A Schweikher | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2006-08-22 |
| 1053424572 | Five Indiana Foot LLC | Podiatrist | 3700 Bellemeade Ave Ste 117, Suite 100, Evansville, IN 47714-0106 | 2006-08-17 |
| 1811975667 | Randall Allen Cooper | Podiatrist | 1723 E Bristol St, Elkhart, IN 46514-3968 | 2006-01-03 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on CHARLES W. KELLEY III D.P.M..
| 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.