JASON KELLY (NPI# 1831644251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831644251 |
| Entity Type | Individual |
| Full Name | JASON KELLY |
| Credential | RT. RVS |
| Practice Address |
7012 E Nelson Dr Tucson AZ 85730-1718 |
| Practice Telephone | 5203098312 |
| Mailing Telephone | 5203098312 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
00096509 | AZ | Technologists, Technicians & Other Technical Service Providers |
| N | 247100000X | Radiologic Technologist | CRT-11630 | AZ | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861034571 | Jason Lee Kelly | Pharmacist | 100 Walmart Dr, Kingwood, WV 26537-1143 | 2019-10-14 |
| 1811452378 | Jason P Kelly | Massage Therapist | 709 N Main St, North Syracuse, NY 13212-1669 | 2019-02-08 |
| 1598050544 | Jason Kelly | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2011-06-17 |
| 1669785556 | Jason Kelly | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-07-20 |
| 1538399738 | Jason Stuart Kelly | Anesthesiology | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-07-22 |
| 1346442159 | Jason Matthew Kelly | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2007-06-04 |
| 1033277876 | Jason Alexander Kelly | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-12-05 |
| 1063590859 | Jason F. Kelly | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1073543831 | Jason Kelly | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-07-04 |
| 1659324473 | Jason Kelly | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2006-05-19 |
| Street Address |
7012 E NELSON DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942755012 | Sunsono | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568978021 | David Silvestre | Spec/Tech, Cardiovascular | 5030 E Dover St, Mesa, AZ 85205-6418 | 2017-12-20 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1659813814 | American Diagnostic Imaging | Spec/Tech, Cardiovascular | 1120 S Dobson Rd Bldg B, Suite 200, Chandler, AZ 85286-6169 | 2016-11-04 |
| 1679911556 | Rong Yang | Spec/Tech, Cardiovascular | 207 W Clarendon Ave, 10g, Phoenix, AZ 85013-3416 | 2013-06-12 |
| 1326259904 | Ann Marie Reed | Spec/Tech, Cardiovascular | 1351 E Jensen St, Mesa, AZ 85203-3353 | 2007-05-24 |
| 1295886315 | Arizona Sonography Group Inc. | Spec/Tech, Cardiovascular | 1850 E Sheena Dr, Phoenix, AZ 85022-4532 | 2007-01-16 |
| 1093871063 | David Duane Kahlstorf | Spec/Tech, Cardiovascular | 1801 E Sheena Dr, Phoenix, AZ 85022-4533 | 2006-12-27 |
| 1487666566 | Sun Valley Ultrasound LLC | Spec/Tech, Cardiovascular | 15051 E San Blas Cir, Fountain Hills, AZ 85268-1618 | 2006-08-13 |
| 1942293089 | Douglas F Hoose | Spec/Tech, Cardiovascular | 22830 S 197th Way, Queen Creek, AZ 85242-8309 | 2005-08-24 |
| 1225595457 | Laki Lamar Syph | Spec/Tech, Cardiovascular | 5251 W Campbell Ave Ste 209, Phoenix, AZ 85031-1719 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
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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.