MS. MAUREEN C KELLY (NPI# 1881664902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881664902 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN C KELLY |
| Credential | PA |
| Practice Address |
960 Main St Branford CT 06405-3730 |
| Practice Telephone | 2034886358 |
| Practice Fax Number | 2034815327 |
| Mailing Telephone | 2034886358 |
| Mailing Fax Number | 2034815327 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001363 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1363 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004245272 | 05 | |
| CT | ANTHEM BCBS | 290001363CT02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255403838 | Maureen Kelly | Social Worker | 977 Summit Ave, Saint Paul, MN 55105-3032 | 2006-11-15 |
| 1518943554 | Maureen E Kelly | Internal Medicine | 4491 Bent Brothers Blvd., Colorado City, CO 81019-9990 | 2005-12-21 |
| 1578549671 | Maureen Elizabeth Kelly | Physical Therapist | 8317 N Hartman St, Portland, OR 97203-1103 | 2005-12-20 |
| 1902458052 | Maureen Kelly | Behavioral Analyst | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2019-07-09 |
| 1912428723 | Maureen E Kelly | Family Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2017-06-30 |
| 1811443062 | Maureen Kelly | Counselor | 1555 E Flamingo Rd, Suite 158, Las Vegas, NV 89119-5258 | 2016-08-28 |
| 1235473125 | Maureen Kelly | Counselor | 281 Independence Blvd, Suite 326, Virginia Beach, VA 23462-2986 | 2012-11-16 |
| 1154613578 | Maureen L. Kelly | Social Worker | 175 High St, Newton, NJ 07860-1004 | 2011-05-03 |
| 1043533185 | Maureen Kelly | Licensed Practical Nurse | 3007 Ely Ave, Bronx, NY 10469-3259 | 2010-03-03 |
| 1588818157 | Maureen T Kelly | Speech-Language Pathologist | 5 Bethpage Rd, Hicksville, NY 11801-1526 | 2008-11-10 |
| Street Address |
960 MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866778 | Michael Demasi | Nurse Practitioner | 960 Main St, Branford, CT 06405-3730 | 2018-09-25 |
| 1861900102 | Sheila Sennett | Physician Assistant | 960 Main St, Branford, CT 06405-3730 | 2018-01-22 |
| 1164665774 | Florence Chan | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2009-04-13 |
| 1306021803 | Sarah Clark | Physician Assistant | 960 Main St, Branford, CT 06405-3730 | 2008-01-02 |
| 1134164650 | Karen Stemler | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2006-06-18 |
| 1487618369 | Ryan T O'connell | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2006-04-17 |
| 1215991575 | Richard Enoch Kaufman | Allergy & Immunology | 960 Main St, Branford, CT 06405-3730 | 2006-04-13 |
| 1902860232 | Joseph L Quaranta | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2006-04-13 |
| 1982668240 | Quinnipiac Medical of Branford, LLC | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2006-04-13 |
| 1518921857 | Jaimy F Honig | Internal Medicine | 960 Main St, Branford, CT 06405-3730 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
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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.