GREGORY KELLY (NPI# 1881801595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881801595 |
| Entity Type | Individual |
| Full Name | GREGORY KELLY |
| Credential | MD |
| Practice Address |
121 Medical Center Drive Suite 2550 Brunswick ME 04011 |
| Mailing Address |
121 Medical Center Dr Suite 2550 Brunswick ME 04011-2653 |
| Practice Telephone | 2073731707 |
| Practice Fax Number | 2073731467 |
| Mailing Telephone | 2073731707 |
| Mailing Fax Number | 2077296626 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD9815 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 009815 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 46 Fairview Ave, Skowhegan, ME 049761481 | 2074745121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669488706 | Gregory Todd Kelly | Dentist | 1835 N Hobart St, Pampa, TX 79065-3410 | 2006-07-31 |
| 1275710956 | Gregory David Kelly | Counselor | 6147 Sutter Ave, Carmichael, CA 95608-2738 | 2008-01-25 |
| 1609945443 | Gregory Dennis Kelly | Emergency Medicine | 1400 Hospital Dr, Emergency Department, Hurricane, WV 25526-9202 | 2006-11-07 |
| 1235213851 | Gregory B Kelly | Internal Medicine | 4924 Campbell Boulevard, White Marsh, MD 21236 | 2006-10-24 |
| 1811900145 | Gregory Kelly | Anesthesiology | 350 Hawthorne Ave, Oakland, CA 94609-3100 | 2006-08-15 |
| 1558359414 | Gregory Thomas Kelly | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
| 1982606984 | Gregory A. Kelly | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-08-10 |
| Street Address |
121 MEDICAL CENTER DRIVE SUITE 2550 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881640357 | Patrick J Keaney | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-05-26 |
| 1457422529 | Mia H Marietta | Surgery | 121 Medical Center Drive, Suite 2550, Brunswick, ME 04011-2653 | 2006-11-12 |
| 1629149745 | Darcey J Leighton | Obstetrics & Gynecology | 121 Medical Center Drive, Suite 2700, Brunswick, ME 04011 | 2006-11-11 |
| 1326128497 | Scott D Mills | Internal Medicine | 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 | 2006-10-16 |
| 1578643664 | Paul R Burns | Internal Medicine | 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 | 2006-10-16 |
| 1437253424 | Stephanie Joan Grohs | Obstetrics & Gynecology | 121 Medical Center Drive, Suite 2700, Brunswick, ME 04011 | 2006-09-11 |
| 1801999024 | James P Mccormick | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-09-06 |
| 1609988914 | Paul J Laprad | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-08-31 |
| 1295846749 | Stephanie L Holmes | Nurse Practitioner | 121 Medical Center Drive, Suite 2700, Brunswick, ME 04011 | 2006-08-31 |
| 1861425712 | Benjamin A Lowenstein | Internal Medicine | 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134326226 | Daniel J Reichenbach Md PC | Surgery | 3020 Shrine Rd, Brunswick, GA 31520-4743 | 2007-07-02 |
| 1851428056 | Tom Vann Willis Jr. | Surgery | F L T C 1131 Chapel Crossing Rd, Brunswick, GA 31524-0001 | 2007-02-27 |
| 1942300140 | Harold L Kent | Surgery | 3226f Hampton Ave Ste F, Brunswick, GA 31520-4205 | 2006-09-25 |
| 1326058504 | Proctology Associates of Maine Pa | Surgery | 214a Durham Rd, Brunswick, ME 04011-7225 | 2006-08-09 |
| 1780616904 | Stephen F Kitchen | Surgery | 3226 Hampton Ave Ste B, Brunswick, GA 31520-4257 | 2006-07-07 |
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1891979233 | Stephen F. Kitchen Md PC | Surgery | 3226 Hampton Ave Ste B, Brunswick, GA 31520-4257 | 2007-12-20 |
| 1740477082 | Turner W. Rentz Jr Md LLC | Surgery | 2500 Starling St, Suite 502, Brunswick, GA 31520-4265 | 2007-10-01 |
| 1124223227 | Golden Isles Center for General and Bariatric Surgery | Surgery | 3226 Hampton Ave, Suite F, Brunswick, GA 31520-4225 | 2007-06-19 |
| 1386845857 | Parkview Medical Associates, Pa | Surgery | 331 Maine St, Brunswick, ME 04011-3358 | 2007-05-30 |
| Find all providers in BRUNSWICK | ||||
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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.