Jody L Kelly (NPI# 1932107208, PAC ID# 1052391547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1932107208 |
| PAC ID by PECOS | 1052391547 |
| Professional Enrollment ID | I20040723001185 |
| Full Name | Jody L Kelly |
| Organization Legal Name | JODY L KELLY MD AND ASSOCIATES, LLC |
| Address |
2901 N Knoxville Ave Peoria IL 61603-1747 |
| Phone Number | 3096887010 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9234119728 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2901 N Knoxville Ave, Peoria, IL 61603-1747 | 3096887010 | JODY L KELLY MD AND ASSOCIATES, LLC |
| Organization Legal Name | JODY L KELLY MD AND ASSOCIATES, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie T Crawley | Obstetrics/gynecology | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Sarah R Tucker | Nurse Practitioner | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Kelly M Cole | Nurse Practitioner | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Alison B Eeten | Certified Nurse Midwife (cnm) | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Jason W Lowe | Obstetrics/gynecology | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Street Address |
2901 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip | 61603-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie T Crawley | Obstetrics/gynecology | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Sarah R Tucker | Nurse Practitioner | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Kelly M Cole | Nurse Practitioner | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Alison B Eeten | Certified Nurse Midwife (cnm) | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Jason W Lowe | Obstetrics/gynecology | Jody L Kelly Md and Associates, LLC | 2901 N Knoxville Ave, Peoria, IL 61603-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Cecilia A Albaro | Pediatric Medicine | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Timothy Whitzel Swain Iii | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Emmanuel A Amulraj | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Kristi N Ryan | Nurse Practitioner | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Mark D Plunkett | Cardiac Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Marc D Knepp | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Michael J Gootee | Otolaryngology | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Priti M Patel | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Anthony J Munaco | General Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Find all physicians in zip 61603 | |||
| City | PEORIA |
| Zip Code | 61603 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PEORIA + OBSTETRICS/GYNECOLOGY |
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| 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.