Kelly D John (NPI# 1295764165, PAC ID# 1153388590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295764165 |
| PAC ID by PECOS | 1153388590 |
| Professional Enrollment ID | I20070726000157 |
| Full Name | Kelly D John |
| Organization Legal Name | SCOTT D WARREN MD PA |
| Address |
216 Ponte Vedra Park Dr Ponte Vedra Beach FL 32082-6600 |
| Phone Number | 9042961313 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698660314 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6890 Belfort Oaks Place, Jacksonville, FL 32216-6241 | 9042961313 | SCOTT D WARREN MD PA |
| 9905 Old Saint Augustine Rd, Suite 205, Jacksonville, FL 32257-8983 | 9048807715 | SCOTT D WARREN MD PA |
| 216 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 9042961313 | SCOTT D WARREN MD PA |
| Organization Legal Name | SCOTT D WARREN MD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott D Warren | Dermatology | Scott D Warren Md Pa | 6890 Belfort Oaks Place, Jacksonville, FL 32216-6241 |
| Michelle Mcbride | Physician Assistant | Scott D Warren Md Pa | 6890 Belfort Oaks Place, Jacksonville, FL 32216-6241 |
| Lanai Bahr Cooksey | Physician Assistant | Scott D Warren Md Pa | 6890 Belfort Oaks Place, Jacksonville, FL 32216-6241 |
| Howard K Hatfield | Physician Assistant | Scott D Warren Md Pa | 6890 Belfort Oaks Place, Jacksonville, FL 32216-6241 |
| Street Address |
216 PONTE VEDRA PARK DR |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip | 32082-6600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jena Joray Snipes | Nurse Practitioner | Robert G Ellison Jr Md P A | 216 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 |
| Robert G Ellison Jr. | Vascular Surgery | Robert G Ellison Jr Md P A | 216 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 |
| Emily L Knowles | Physician Assistant | Robert G Ellison Jr Md P A | 216 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abubakr A Bajwa | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 |
| Cecilia C Olazar | Rheumatology | 130 Professional Dr, Ponte Vedra Beach, FL 32082-1202 | |
| Jane Y Hill | Clinical Social Worker | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| David M Harvey | Psychologist, Clinical | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| Joan Simon | Clinical Psychologist | 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082-1287 | |
| Michael Haghighi | Family Practice | 820 A1a, Suite E 9, Ponte Vedra, FL 32082-1400 | |
| Shahid M Nasir | Diagnostic Radiology | 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1826 | |
| Megan E Deacon-casey | Interventional Radiology | 330 A1a, Suite 321, Ponte Vedra Beach, FL 32082-1826 | |
| Timothy David Sharpe | Physician Assistant | 130 Indian Cove Ln, Ponte Vedra Beach, FL 32082-2168 | |
| Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
| Find all physicians in zip 32082 | |||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PONTE VEDRA BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly D John.
| 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.