KELTON MEDICAL, LLC (NPI# 1932200201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932200201 |
| Entity Type | Organization |
| Organization Name | KELTON MEDICAL, LLC |
| Practice Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Mailing Address |
Po Box 25757 Baltimore MD 21224-0457 |
| Practice Telephone | 4107874908 |
| Mailing Telephone | 4107874908 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | RICHARD A. KELTON (PRESIDENT) |
| Authorized Official Telephone | 4107874908 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | D45018 | MD | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
D0045018 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECHOICE MARYLAND # | F466 | 01 |
| MD | 431303800 | 05 | |
| MD | CAREFIRST, MARLYAND GROUP | LZ42KE | 01 |
| MD | RAILROAD MEDICARE GROUP # | DG4495 | 01 |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| 1871194662 | Rachel Ann Sands | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-06 |
| 1912507500 | Ca'seem Tyler | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-01 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1912504598 | Rachel Janine Weitman | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-06 |
| 1689288359 | Candace Katelynn Fazenbaker | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-09-01 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1639797046 | Gloria Owusu-seshie | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-07-13 |
| 1447876693 | Ming Li | Nurse Anesthetist, Certified Registered | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1033735279 | Elodie Tendoh | Student in an Organized Health Care Education/Training Program | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700288602 | Healogics Specialty Physicians of Maryland, LLC | Preventive Medicine | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2014-09-23 |
| 1689992547 | Olivia Joanne Barefoot-morgan | Preventive Medicine | 8227 Cloverleaf Dr Ste 303, Millersville, MD 21108-1536 | 2010-05-17 |
| 1306868773 | Daniel John | Preventive Medicine | 6701 N Charles St, Rm 4375, Baltimore, MD 21204-6808 | 2006-07-24 |
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on KELTON MEDICAL, LLC.
| 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.