DR. JOSEPH E KELLEY JR. (NPI# 1831183565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831183565 |
Entity Type | Individual |
Full Name | DR. JOSEPH E KELLEY JR. |
Credential | M.D. |
Practice Address |
979 E 3rd St Ste 300 Chattanooga TN 37403-2136 |
Practice Telephone | 4232670466 |
Practice Fax Number | 4237570775 |
Mailing Telephone | 4232670466 |
Mailing Fax Number | 4237570775 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2019-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MD19975 | TN | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD19975 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00630704A | 05 | |
AL | 009909710 | 05 | |
CIGNA | 2607892 001 | 01 | |
BCBS OF TN | 183541 | 01 | |
OH | 2535788 | 05 | |
JDH | 62165877422 | 01 | |
TN | 3060412 | 05 | |
NC | 790568Q | 05 | |
RR MEDICARE | 020029189 | 01 | |
UHC | 1740072 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306331525 | Joseph Thomas Kelley | Psychologist | 50 Magna Rd, Methuen, MA 01844-4655 | 2018-06-29 |
1437599511 | Joseph Edward Kelley | Surgery | 10835 Cardinal Lake Dr, Frankfort, IL 60423-2270 | 2013-07-03 |
1730243825 | Joseph C Kelley | Registered Nurse | 3020 Rose Blossom Ct Nw, Salem, OR 97304-1056 | 2006-12-21 |
1689781528 | Joseph Robert Kelley | Chiropractor | 12305 120th Ave Ne, Suite A, Kirkland, WA 98034-6921 | 2006-08-24 |
1376751354 | Joseph R Kelley | Radiology | 1926 Alcoa Hwy, Ste 130, Knoxville, TN 37920-1545 | 2007-05-21 |
1427197375 | Joseph Kelley | Rehabilitation Practitioner | 911 Northland Dr, Princeton, MN 55371-2172 | 2007-02-06 |
1558335745 | Joseph Leo Kelley | Obstetrics & Gynecology | 300 Halket St, Suite 0610, Pittsburgh, PA 15213-3108 | 2006-02-14 |
Street Address |
979 E 3RD ST STE 300 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37403-2136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849849 | Daniel B Herz | Urology | 979 E 3rd St, Suite C-925, Chattanooga, TN 37403-2136 | 2005-05-28 |
1255948618 | Laura Katherine Johnson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-29 |
1407462039 | Nitha Ketts | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-18 |
1568078475 | Christina Brooke Robinson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-17 |
1922628601 | Yuliya Timoshchuk | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-04-22 |
1972154953 | Roseann Marie Lobach | Nurse Practitioner | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-09-22 |
1942867361 | Jessica Burns Tyner | Registered Nurse | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-05-21 |
1447784103 | Jonathan Brent Moss | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-19 |
1083148084 | Dresden Miranda Melton | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-17 |
1982138426 | Margaret Elizabeth Gardner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite C-720, Chattanooga, TN 37403-2136 | 2017-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
Find all providers in zip 37403 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134363518 | Jeremy Gabriel Fisher | Surgery | 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 | 2009-04-28 |
1891952313 | Syamal Dave Bhattacharya | Surgery | 979 E 3rd St, Ste. 300, Chattanooga, TN 37403-2136 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902993025 | Stephen Eric Morrow | Surgery | 330 23rd Ave N Ste 350, Nashville, TN 37203-1650 | 2006-10-09 |
1407950934 | Horace Norman Noe | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2006-09-13 |
1932131901 | Carlos A Angel | Surgery | 2100 Clinch Ave Suite 430, Knoxville, TN 37916 | 2006-07-07 |
1558315861 | Martin L. Blakely | Surgery | 7102 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2006-05-20 |
1437110004 | Brad A Feltis | Surgery | 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604-6171 | 2006-03-31 |
1669432761 | Carol L Fowler | Surgery | 2100 Clinch Ave, Ste 430, Knoxville, TN 37916 | 2006-03-24 |
1588645774 | William Glaze Vaughan | Surgery | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2005-11-07 |
1861810319 | Israel Fernandez-pineda | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2014-04-02 |
1558619213 | Abdelhafeez H Abdelhafeez | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105 | 2012-08-28 |
1336403021 | Hong Pheng Amos Loh | Surgery | 262 Danny Thomas Pl, Department of Surgery, Memphis, TN 38105-3678 | 2012-06-27 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37403 |
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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.