JEFFREY D KELLOGG


Address: 45 Maddex Dr, Shepherdstown, WV 25443-4322
Phone: 3048769321

JEFFREY D KELLOGG (NPI# 1861532350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861532350
Entity Type Individual
Full Name JEFFREY D KELLOGG
Credential MD
Practice Address 45 Maddex Dr
Shepherdstown
WV 25443-4322
Mailing Address Po Box 1880
Shepherdstown
WV 25443-1880
Practice Telephone 3048769321
Practice Fax Number 3048761481
Mailing Telephone 3048769321
Mailing Fax Number 3048761481
Enumeration Date 2007-02-07
Last Update Date 2013-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0000X Family Medicine
Specialization: Adolescent Medicine
15594 WV Allopathic & Osteopathic Physicians
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
15594 WV Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
15594 WV Allopathic & Osteopathic Physicians

Other Providers JEFFREY KELLOGG

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1093740862 Jeffrey Saunders Kellogg Psychologist 3412 S Illinois Ave, Carbondale, IL 62903-8362 2006-07-11
1215925011 Jeffrey J Kellogg Physician Assistant 510 North St, Pittsfield, MA 01201-5493 2005-10-06
1083657084 Jeffrey L. Kellogg Family Medicine 4545 Sergeant Rd, Sioux City, IA 51106-4706 2006-06-14

Office Location

Street Address 45 MADDEX DR
City SHEPHERDSTOWN
State WV
Zip Code 25443-4322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235472523 Potomac Integrative Health Pllc Family Medicine 207 S Princess Street, Suite 11, Shepherdstown, WV 25443 2013-04-04
1841437977 Riley F Dobbins IIi Dentist 7512 Martinsburg Pike, Shepherdstown, WV 25443 2009-01-12
1912168816 Pure Performance Sportscare and Rehabilitation Clinic/Center 547 Willowdale Drive, Shepherdstown, WV 25443 2008-06-23
1144432816 J. David Myers Counselor 41 Maddex Dr., Shepherdstown, WV 25443 2007-05-04
1790907186 Gayle Lee Conner Specialist/Technologist 301north King Street, Shepherd University, Shepherdstown, WV 25443 2007-05-03
1356416259 Paul Davis Dentist Audrey Egle Drive, Shepherdstown, WV 25443 2006-11-24
1356420608 Providence Counseling Ministries, Inc Counselor 41 Maddex Drive, Shepherdstown, WV 25443 2006-11-06
1497841340 David Vernon Miljour Chiropractor 51 Maddex Dr, Maddex Professional Center, Shepherdstown, WV 25443 2006-10-05
1174563928 Brian S. Erickson Chiropractor 7486 Martinsburg Pike, Shepherdstown, WV 25443 2006-06-08
1598764789 Shepherdstown Fire Department Ambulance 852 Martinsburg Pike, Shepherdstown, WV 25443 2005-07-19
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588077366 Bharat Das Agarwal Family Medicine 1623 Greystone Rd, Charleston, WV 25314-2211 2014-06-09
1225160575 David Allen Proctor Family Medicine 1 Whitetail Cove, Beverly, WV 26253 2007-03-12
1346386919 Essa Abdulla Family Medicine 40 Quarry Ridge, Charleston, WV 25304 2007-01-30
1104962729 Braddock Medical Group P.a. Family Medicine 70 Presidents Street, Unit 1150, Fort Ashby, WV 26719-1150 2007-01-30
1558380824 Angel Smothers Family Medicine 10001 Simmons River Rd, Montcalm, WV 24737 2006-07-18
1174575898 Christopher Donovan Beckett Family Medicine 184 E 2nd Ave, Suite 1, Williamson, WV 25661-3602 2006-05-17
1053886747 Christopher John Meyer Family Medicine 446 Greenbag Rd, Morgantown, WV 26501-7159 2018-10-09
1265967681 Alecto Healthcare Services Wheeling LLC Family Medicine 2000 Eoff St, Wheeling, WV 26003-3823 2017-04-23
1932434149 Comprehensive Health Solutions, Pllc Family Medicine 184 E 2nd Ave, Suite 1, Williamson, WV 25661-3602 2009-10-05
1346420148 Family Care Associates, Pllc Family Medicine 1031 Morgantown Ave, Fairmont, WV 26554-4355 2007-11-08
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Competitor

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City SHEPHERDSTOWN
Zip Code 25443

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Dataset Information

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.

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