James E Kelly (NPI# 1053377333, PAC ID# 0749238905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1053377333 |
| PAC ID by PECOS | 0749238905 |
| Professional Enrollment ID | I20060914000008 |
| Full Name | James E Kelly |
| Organization Legal Name | JAMES E. KELLY M.D. LLC |
| Address |
1015 Bowles Ave Fenton MO 63026-2394 |
| Phone Number | 6364962000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4284808262 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260210 | ST ALEXIUS HOSPITAL |
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962000 | JAMES E. KELLY M.D. LLC |
| 3535 S Jefferson Ave, Suite 114, Saint Louis, MO 63118-3907 | 3147715822 | JAMES E. KELLY M.D. LLC |
| Organization Legal Name | JAMES E. KELLY M.D. LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Dolores Buenaventura | Nurse Practitioner | James E. Kelly M.d. LLC | 3535 S Jefferson Ave, Suite 114, Saint Louis, MO 63118-3907 |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip | 63026-2394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher B Espana | Family Medicine | Ssm Health Care St Louis | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Shouying Du | Pathology | Comprehensive Pathology Services Lc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Robert M Fischer | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Alexander D Babich | Pathology | Comprehensive Pathology Services Lc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Julie Roach | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Christopher Hamlin | Anesthesiology | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Kenneth E Ross | Family Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | |
| Romel Izquierdo Mera | Internal Medicine | Galen Inpatient Physicians Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Gabriel Cardenas Jr. | Podiatry | 1015 Bowles Ave, Fenton, MO 63026-2394 | |
| Sanjay A Patwardhan | Internal Medicine | Midwest Medicine Group LLC | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | UROLOGY |
| City + Specialty | FENTON + UROLOGY |
Please comment or provide details below to improve the information on James E Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.