MEGHAN KELLY (NPI# 1851833420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851833420 |
| Entity Type | Individual |
| Full Name | MEGHAN KELLY |
| Practice Address |
2513 Momentum Pl Chicago IL 60689 |
| Mailing Address |
1105 Sixth St Traverse City MI 49684-2345 |
| Practice Telephone | 2319356080 |
| Practice Fax Number | 2319356081 |
| Mailing Telephone | 2319352170 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916724 | Meghan Kelly | Social Worker | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-11-13 |
| 1316452246 | Meghan Kelly | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2017-12-14 |
| 1326553827 | Meghan Lyn Kelly | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2017-12-06 |
| 1154771350 | Meghan Kelly | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2016-06-18 |
| 1831562230 | Meghan Kelly | Physician Assistant | 1275 York Ave, Box 435, New York, NY 10065-6007 | 2015-11-06 |
| 1558780304 | Meghan Patricia Kelly | Speech-Language Pathologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2014-04-09 |
| 1386075257 | Meghan Kelly | Specialist/Technologist | 103 W Michigan Ave, Clinton, MI 49236-9577 | 2013-12-03 |
| 1881936714 | Meghan Kelly | Orthopaedic Surgery | 555 N Arlington Ave, Reno, NV 89503-4723 | 2013-03-18 |
| 1619171261 | Meghan Ruth Kelly | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2007-06-14 |
| 1205965605 | Meghan Ann Kelly | Occupational Therapist | 70 Stockton Ave, Ocean Grove, NJ 07756-1150 | 2007-03-04 |
| Street Address |
2513 MOMENTUM PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174730 | Munson Medical Center | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689-5325 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457604 | Robert J Houser | Physician Assistant | 3565 Momentum Pl, Chicago, IL 60689 | 2005-09-14 |
| 1124401179 | Omni Youth Services, Inc. | Clinic/Center | 1111 W Lake Cook Rd, Buffalo Grove, IL 60689 | 2015-07-08 |
| 1457881682 | Jennifer J Rogulic | Registered Nurse | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-20 |
| 1417195421 | Robin A Williams | Dietitian, Registered | 2063 Momentum Pl, Chicago, IL 60689-0001 | 2009-01-29 |
| 1073535845 | Gary Gray Physical Therapy Clinic Inc. | Occupational Therapist | 2408 Momentum Pl, Chicago, IL 60689-0001 | 2006-07-24 |
| 1023064144 | Eastern Iowa Therapeutics PC | Physical Therapist | 2406 Momentum Pl, Chicago, IL 60689-0001 | 2006-05-26 |
| 1851812788 | Jessica Sefton | Physician Assistant | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-30 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1376651489 | Matrix LLC | Skilled Nursing Facility | 1603 Momentum Pl, Chicago, IL 60689-5316 | 2006-08-28 |
| 1588118285 | Elishba Sinha | Nurse Practitioner | 2447 Momentum Pl, Chicago, IL 60689-5325 | 2016-08-10 |
| Find all providers in zip 60689 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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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.