KELLY SERNYEE YOUNG (NPI# 1972989879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972989879 |
| Entity Type | Individual |
| Full Name | KELLY SERNYEE YOUNG |
| Credential | PA |
| Practice Address |
199 Reedsdale Rd Milton MA 02186-3926 |
| Mailing Address |
296 Essex St Weymouth MA 02188-4124 |
| Practice Telephone | 6176964600 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA5479 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058600 | Kelly Young | Registered Nurse | 501 Howard Ave Ste D, Altoona, PA 16601-4810 | 2019-11-19 |
| 1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
| 1508216631 | Kelly Young | Marriage & Family Therapist | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2016-06-20 |
| 1013394865 | Kelly Ann Young | Dietitian, Registered | 1380 El Cajon Blvd, El Cajon, CA 92020-5703 | 2015-04-30 |
| 1306144167 | Kelly Marie Young | Counselor | 201 Houston St Ste 104, Batavia, IL 60510-1960 | 2011-03-03 |
| 1164736641 | Kelly Young | Physical Therapy Assistant | 396 Lake Nepessing Rd., Lapeer, MI 48446-2910 | 2010-07-27 |
| 1922246099 | Kelly Young | Social Worker | 3140 Tarrant Ln, Plano, TX 75025-5291 | 2009-01-28 |
| 1265682801 | Kelly Shannon Young | Physical Therapist | 1151 Robeson Street, Fall River, MA 02720-5566 | 2008-09-19 |
| 1851598833 | Kelly Elizabeth Young | Dentist | 2005 Saint Charles St Ste 5, Jasper, IN 47546-9146 | 2007-07-02 |
| 1053924423 | Kelly Lee Young | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-08-26 |
| Street Address |
199 REEDSDALE RD |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669166 | Hope G. Mangili | Nurse Anesthetist, Certified Registered | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2006-02-21 |
| 1336781301 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Pathology | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2019-10-11 |
| 1477056158 | Barbara A Clancy | Orthotist | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2018-03-09 |
| 1700300621 | David Gomes | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2017-08-02 |
| 1245773308 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Radiology | 199 Reedsdale Rd, Milton, MA 02186 | 2016-11-22 |
| 1508315821 | Alexander Rosales Ingente | General Acute Care Hospital | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-09-27 |
| 1770944779 | Mari Krisel Lantin Salazar | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-18 |
| 1629439880 | Daniel Holder | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-16 |
| 1134589435 | Andrea Paola Choueiri | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-02-29 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765940 | Richard Benjamin Wilhite | Physician Assistant | 7119 Langley St Ste 101, Milton, FL 32570-6105 | 2020-06-19 |
| 1447668975 | Mary Claire Walsh | Physician Assistant | 927 Ethan Allen Hwy, Suite 2, Milton, VT 05468-9746 | 2014-07-29 |
| 1609916410 | Mary Blanchette | Physician Assistant | 69 Reedsdale Rd, Milton, MA 02186-3309 | 2007-02-08 |
| 1679648455 | Patricia Hannon | Physician Assistant | 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-11-21 |
| 1326074337 | Thomas E. Johnson | Physician Assistant | 1347 Hillview Dr, Milton, WV 25541-1513 | 2006-06-23 |
| 1396795621 | Jonathan Fain Bullman | Physician Assistant | 6002 Berryhill Road, Santa Rosa Medical Center, Milton, FL 32570 | 2006-05-10 |
| 1407338932 | App of Florida Ed, LLC | Physician Assistant | 6002 Berryhill Rd, Milton, FL 32570-5062 | 2018-08-31 |
| 1922590637 | Shelby Ellis Grice | Physician Assistant | 5992 Berryhill Rd Ste 302, Milton, FL 32570-1017 | 2018-05-30 |
| 1851774830 | Sean Michael Ryan | Physician Assistant | 5500 Stewart St, Milton, FL 32570 | 2015-07-08 |
| 1669877759 | Meaghan Hart | Physician Assistant | 100 Highland St, Suite 300, Milton, MA 02186-3881 | 2014-10-31 |
| Find all providers in MILTON | ||||
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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.