MR. WILLIAM DAVID KELLEY (NPI# 1952351272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952351272 |
Entity Type | Individual |
Full Name | MR. WILLIAM DAVID KELLEY |
Credential | PA |
Practice Address |
100 N Green Valley Pkwy Suite 310 Henderson NV 89074-6391 |
Practice Telephone | 7025656565 |
Practice Fax Number | 7025658898 |
Mailing Telephone | 7025656565 |
Mailing Fax Number | 7025658898 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2008-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1058 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | RAILROAD MEDICARE | P00442052 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831542836 | William Kelley | Physical Therapist | 3100 Naomi St, Miami, FL 33133-4510 | 2016-07-14 |
1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
1750436713 | William Duane Kelley Jr. | Chiropractor | 100 Mclay Dr, Elizabeth, PA 15037-2362 | 2007-01-23 |
1285782532 | William Kelley | Physician Assistant | 1164 Andrews Rd, Murphy, NC 28906-2898 | 2007-01-05 |
1043373384 | William Scott Kelley | Podiatrist | 35 S Spruce St Fl 1, Ramsey, NJ 07446-2549 | 2006-12-18 |
1891708897 | William Joseph Kelley | Plastic Surgery | 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 | 2006-08-14 |
1962425215 | William M Kelley | Dentist | 780 E Romie Ln Ste F, Salinas, CA 93901-4223 | 2006-07-26 |
1376561647 | William H. Kelley | Family Medicine | 7069 Us Highway 67 E, Maud, TX 75567-4583 | 2006-07-17 |
1932145976 | William Joseph Kelley | Internal Medicine | 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 | 2006-06-20 |
1770555401 | William Bernard Kelley | Specialist | 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 | 2006-02-06 |
Street Address |
100 N GREEN VALLEY PKWY SUITE 310 |
City | HENDERSON |
State | NV |
Zip Code | 89074-6391 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366446189 | Parkway Surgery Center, LLC. | Clinic/Center | 100 N Green Valley Pkwy, Ste 125, Henderson, NV 89074-6392 | 2005-06-09 |
1205285285 | Pat Escamis | Nurse Practitioner | 100 N Green Valley Pkwy, Suite 239, Henderson, NV 89074-6391 | 2016-06-09 |
1922491505 | Parkway Recovery Care Center, LLC | Nursing Facility/Intermediate Care Facility | 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 | 2015-03-06 |
1184901944 | Parkway Imaging Center, LLC | Clinic/Center | 100 N Green Valley Pkwy, 130, Henderson, NV 89074-6391 | 2011-11-08 |
1972732451 | Jenny Hernandez | Nutritionist | 100 N Green Valley Pkwy, Suite 340, Henderson, NV 89074-6391 | 2009-07-06 |
1205088895 | Allan Jordan | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-15 |
1326290016 | Bryan Barnard | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-14 |
1366643553 | Sylvia C Averitt | Nurse Practitioner | 100 N Green Valley Pkwy, Ste 345, Henderson, NV 89074-7705 | 2007-05-29 |
1124234927 | Connie L Knapp | Nurse Practitioner | 100 N Green Valley Pkwy, #345, Henderson, NV 89074 | 2007-05-16 |
1699988055 | M Paul Singh Md Prof Corp | Internal Medicine | 100 N Green Valley Pkwy, # 110, Henderson, NV 89074-6391 | 2007-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
Find all providers in zip 89074 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598148538 | Filbert John Aquino | Physician Assistant | 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 | 2015-07-08 |
1215131495 | Harvey P Smith Jr. | Physician Assistant | 6301 Mountain Vista St Ste 204, Henderson, NV 89014-2366 | 2007-06-12 |
1255373338 | Ruston Bray | Physician Assistant | 612 N High St Ste A, Henderson, TX 75652-5914 | 2006-06-12 |
1487045936 | Jason A Zarn | Physician Assistant | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074-8195 | 2015-02-05 |
1194159350 | Nicole Louise Watson | Physician Assistant | 10652 S Eastern Ave Ste A, Henderson, NV 89052-4953 | 2013-08-23 |
1912243619 | Bryce Tyler Nelson | Physician Assistant | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2012-12-27 |
1972560175 | Daniel Kreun | Physician Assistant | 861 Coronado Center Dr, Suite 200, Henderson, NV 89052-3992 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
1275923278 | Bradley Ryan Duncan | Physician Assistant | 645 Angela St, Fernley, NV 89408-8321 | 2015-01-28 |
1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
1093046963 | Physician Assistant Surgical Specialists | Physician Assistant | 8979 Haviland Rd, Las Vegas, NV 89123-0617 | 2010-01-16 |
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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.