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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
45 MADDEX DR |
City | SHEPHERDSTOWN |
State | WV |
Zip Code | 25443-4322 |
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 |
Find all providers in zip 25443 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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 |
Find all providers with the same taxonomy |
City | SHEPHERDSTOWN |
Zip Code | 25443 |
Please comment or provide details below to improve the information on JEFFREY D KELLOGG.
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.