DR. ROBERT R. KELLY (NPI# 1922375310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922375310 |
| Entity Type | Individual |
| Full Name | DR. ROBERT R. KELLY |
| Credential | M.D. |
| Practice Address |
110 Poncha Ave Alamosa CO 81101-2160 |
| Practice Telephone | 7199375179 |
| Mailing Telephone | 7199375179 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | CO 20070 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
| 1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
| 1902029291 | Robert J Kelly | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2007-04-11 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
| 1811900756 | Robert Mouledoux Kelly | Optometrist | 4225 Lapalco Blvd., Marrero, LA 70072-4338 | 2006-08-14 |
| Street Address |
110 PONCHA AVE |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215198718 | Mikaila Heldt Pence | Pediatrics | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2008-06-18 |
| 1912950510 | Aurelia Balan | Pediatrics | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2006-05-18 |
| 1336123546 | Svetlana Bresnitz | Pediatrics | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-12-01 |
| 1134117021 | Ma Stella Ocampo-carale | Pediatrics | 128 Market St, Alamosa, CO 81101-2290 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557133 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1301 Central Ave, Dolores, CO 81323 | 2020-10-30 |
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1891312336 | Castle Pines Pediatrics, Pllc | Pediatrics | 7501 Village Square Dr Ste 207, Castle Pines, CO 80108-3708 | 2020-07-01 |
| 1255957528 | Onpoint Medical Group, LLC | Pediatrics | 7720 S Broadway Ste 540, Littleton, CO 80122-2635 | 2020-06-22 |
| 1356966626 | Pediatrics of Steamboat Springs, PC | Pediatrics | 168 South Walnut Street, Hayden, CO 81639 | 2020-06-12 |
| 1821623463 | Brianne Carruthers | Pediatrics | 9282 E 108th Ave, Commerce City, CO 80640-8972 | 2020-03-04 |
| 1356974356 | Littleton Pediatric Medical Center | Pediatrics | 206 W County Line Rd Ste 110, Highlands Ranch, CO 80129-2319 | 2020-02-18 |
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1013548395 | Optumcare Colorado Springs, LLC | Pediatrics | 17230 Jackson Creek Pkwy Ste 260, Monument, CO 80132-7305 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
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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.