Kelly A Callahan (NPI# 1306934070, PAC ID# 0840255485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1306934070 |
| PAC ID by PECOS | 0840255485 |
| Professional Enrollment ID | I20071011000130 |
| Full Name | Kelly A Callahan |
| Organization Legal Name | MEDIKINE GROUP LLC |
| Address |
405 Bethel Rd Somers Point NJ 08244-2108 |
| Phone Number | 6096017601 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0446446991 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 405 Bethel Rd, Somers Point, NJ 08244-2108 | 6096017601 | MEDIKINE GROUP LLC |
| 100 Bowman Dr, Voorhees, NJ 08043-9612 | 8569886260 | WEST JERSEY ANESTHESIA ASSOCIATE PA |
| Organization Legal Name | MEDIKINE GROUP LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Faust | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Jocelyn I Holgado | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Lisa A Palovick | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Kathy Summers | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Tina L Cammarata | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Colleen M Agostini | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Holly L Brogan | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Corbin Ryen Mills | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Joseph Bruno Nyzio Jr. | Anesthesiology | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| David Massengale | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Street Address |
405 BETHEL RD |
| City | SOMERS POINT |
| State | NJ |
| Zip | 08244-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Faust | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Jocelyn I Holgado | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Lisa A Palovick | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Kathy Summers | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Tina L Cammarata | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Colleen M Agostini | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Holly L Brogan | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Corbin Ryen Mills | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Joseph Bruno Nyzio Jr. | Anesthesiology | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| David Massengale | Certified Registered Nurse Anesthetist (crna) | Medikine Group LLC | 405 Bethel Rd, Somers Point, NJ 08244-2108 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay M Harmelin | Podiatry | 23 Crestview Dr, Somers Point, NJ 08244-1611 | |
| Richard B Islinger | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Katelyn D Wegfahrt | Physician Assistant | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Eugene J Demorat | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Stanley C Marczyk | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Frederick G. Dalzell | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| George C Alber Iv | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Stephen John Zabinski | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Thomas A Barrett | Orthopedic Surgery | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Julie A Preston | Physician Assistant | Shore Orthopaedic University Associates Pa | 24 Macarthur Blvd, Somers Point, NJ 08244-1776 |
| Find all physicians in zip 08244 | |||
| City | SOMERS POINT |
| Zip Code | 08244 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SOMERS POINT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kelly A Callahan.
| 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.