MARK DONALD KELLEY (NPI# 1831130996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831130996 |
| Entity Type | Individual |
| Full Name | MARK DONALD KELLEY |
| Other Name | MARK DONALD RALPH |
| Credential | FNP-BC |
| Practice Address |
100 Michigan St Ne Grand Rapids MI 49503-2560 |
| Mailing Address |
2537 Momentum Pl Chicago IL 60689-0001 |
| Practice Telephone | 6163911680 |
| Mailing Telephone | 6169751845 |
| Mailing Fax Number | 6169751870 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704173671 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | P00725240 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348194 | Mark A. Kelley | Internal Medicine | 6 Kent Ave, Marshfield, MA 02050 | 2006-12-01 |
| 1013313154 | Mark Allen Kelley | Registered Nurse | 1818 Albion St, Nashville, TN 37208-2918 | 2014-11-18 |
| 1003153750 | Mark M Kelley | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-01-14 |
| 1598998858 | Mark Kelley | Physical Therapy Assistant | 394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466 | 2009-09-02 |
| 1760645865 | Mark Kelley | Acupuncturist | 209 E Swallow Rd, Fort Collins, CO 80525-2539 | 2008-07-08 |
| 1902949878 | Mark Andrew Kelley | Marriage & Family Therapist | 405 Westwood Ave, High Point, NC 27262-4325 | 2007-02-14 |
| 1174622500 | Mark C Kelley | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-09-22 |
| 1851303978 | Mark A Kelley | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2006-08-13 |
| 1316980113 | Mark Alan Kelley | Psychiatry & Neurology | 1705 E 19th St, Suite 512, Tulsa, OK 74104-5405 | 2006-06-13 |
| 1427004704 | Mark C Kelley | Dermatology | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2006-05-26 |
| Street Address |
100 MICHIGAN ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001668 | Surender Rajasekaran | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2005-05-26 |
| 1710587415 | Mara S Brown | Registered Nurse | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-30 |
| 1033718044 | Anh Thi Mai Huynh | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-21 |
| 1427687201 | Kayla Renee Smith | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-04-03 |
| 1407487424 | Jessica B Doorn | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-29 |
| 1649810391 | Olivia Lauren Presnell | Physician Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-10 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1619514593 | Louise Mcwhirter | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-10 |
| 1316584915 | Professional Treatment Solutions PC | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253654 | Caleb S Parks | Nurse Practitioner | 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 | 2020-10-20 |
| 1689271272 | Karen J Goehring | Nurse Practitioner | 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 | 2020-10-06 |
| 1043859846 | Erika J Mehney | Nurse Practitioner | 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 | 2019-12-27 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1104460633 | Margaret Masters | Nurse Practitioner | 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 | 2019-10-28 |
| 1366085474 | Jenna Shoemaker | Nurse Practitioner | 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 | 2019-10-21 |
| 1073163846 | Jo-leighanne Marie Pascoe | Nurse Practitioner | 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 | 2019-09-13 |
| 1710531686 | Emily Wilson | Nurse Practitioner | 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 | 2019-07-30 |
| 1245882703 | Rebecca Lauren Veneklase | Nurse Practitioner | 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 | 2019-07-15 |
| 1871151613 | Nicole Spratling | Nurse Practitioner | 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2019-06-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MARK DONALD KELLEY.
| 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.