DR. JEFFREY ALAN KELLY (NPI# 1932159928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932159928 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN KELLY |
| Credential | D.C. |
| Practice Address |
4266 State St Saginaw MI 48603-4028 |
| Mailing Address |
2605 S Graham Rd Saginaw MI 48609-9616 |
| Practice Telephone | 9897926702 |
| Practice Fax Number | 9897921128 |
| Mailing Telephone | 9896425421 |
| Mailing Fax Number | 9897921128 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
JK008789 | MI | Chiropractic Providers |
| Y | 111NR0200X |
Chiropractor Specialization: Radiology |
JK008789 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN NUMBER | 950G311530 | 01 |
| MI | BCBS LICENSE NUMBER | JK008789 | 01 |
| MI | BCBS PIN | 0G30188 | 01 |
| MI | MEDICARE ID | 0N24830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1508338294 | Jeffrey Glen Kelly Sr. | Behavior Technician | 4540 Harlin Dr, Sacramento, CA 95826-9716 | 2018-12-19 |
| 1194898544 | Jeffrey Kelly | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-11-15 |
| 1477538353 | Jeffrey Scott Kelly | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
| 1770565384 | Jeffrey John Kelly | Dermatology | 3643 W Front St, Suite A, Traverse City, MI 49684-7759 | 2005-11-18 |
| Street Address |
4266 STATE ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896444 | John Michael Kelly | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2005-07-26 |
| 1023654704 | Emily Michelle Trybus | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2019-11-18 |
| 1528523677 | Jaclyn Jeane Goslin | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2019-02-04 |
| 1033648944 | Jonathon Edward Arnold | Chiropractor | 4266 State St, Saginaw, MI 48603 | 2017-06-06 |
| 1780033506 | Alexander Dalton | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2016-06-13 |
| 1790174456 | Matthew Joel Peacock | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2015-01-20 |
| 1982909818 | Tri-city Chiropractic, Pllc | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2011-01-25 |
| 1053525212 | Tri-city Chiropractic Center | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2007-05-09 |
| 1649282633 | Danny Ray Taylor | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 111NR0200X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Radiology |
| Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation. Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws. |
| Notes: Source: American Chiropractic Board of Radiology, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164804399 | Tarry Chiropractic Plc | Chiropractor | 6427 Centurion Dr, Lansing, MI 48917-8295 | 2015-06-24 |
| 1114100690 | Fantastic Health Chiropractic, Pllc | Chiropractor | 947 W Broadway Ave, Muskegon, MI 49441-3586 | 2007-12-07 |
| 1881873651 | Abc Back & Neck Care of Waterford | Chiropractor | 5663 Highland Rd, Waterford, MI 48327-1972 | 2007-10-30 |
| 1114134681 | Gregerson Radiology Consultants Ltd. | Chiropractor | 8004 Red Fox Rd, Stanwood, MI 49346 | 2007-05-16 |
| 1619035490 | Ronald Harlan Liedel Jr. | Chiropractor | 27108 Telegraph Rd, Flat Rock, MI 48134-1659 | 2006-12-05 |
| 1356413033 | James W White Jr. | Chiropractor | 6070 Fenton Rd, Suite 5, Flint, MI 48507-4747 | 2006-11-15 |
| 1639107378 | Kathleen Mary Rohlig | Chiropractor | 412 N Center St, Northville, MI 48167-1224 | 2006-06-29 |
| 1992748834 | William M Williams | Chiropractor | 3050 E Lake Lansing Rd, East Lansing, MI 48823-2284 | 2006-06-14 |
| 1952931172 | Spectrum Chiropractic and Health | Chiropractor | 690 Riverside Ave, Adrian, MI 49221-1544 | 2020-01-16 |
| 1548784838 | Raj Medical Associates Md PC | Chiropractor | 26222 Telegraph Rd, Southfield, MI 48033 | 2017-07-28 |
| 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.