Robert M Kellman
ST JOSEPHS MEDICAL PC


Address: 4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066
Phone: 3157441505

Robert M Kellman (NPI# 1265476410, PAC ID# 1355240110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1265476410
PAC ID by PECOS 1355240110
Professional Enrollment ID I20110103000674
Full Name Robert M Kellman
Organization Legal Name ST JOSEPHS MEDICAL PC
Address 4100 Medical Ctr Dr
Suite 117
Fayetteville
NY 13066
Phone Number 3157441505
Gender M
Medical School STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1977
Primary Specialty OTOLARYNGOLOGY
Secondary Specialties PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 4688855844
Number of Group Practice Members 340
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330140 ST JOSEPH'S HOSPITAL HEALTH CENTER

Other Locations

Address Phone Organization
4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 3157441505 ST JOSEPHS MEDICAL PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 91%

Organization Information

Organization Legal Name ST JOSEPHS MEDICAL PC
Physicians 316

Physicians with the same organization

Name Specialty Organization Address
Ashley E Crumb Nurse Practitioner St Josephs Medical PC 8278 Willett Pkwy, Fl 2, Baldwinsville, NY 13027-1311
Megan M Wolfe Nurse Practitioner St Josephs Medical PC 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3808
Brandon W Crandall Nurse Practitioner St Josephs Medical PC 4103 Medical Ctr Dr, Fayetteville, NY 13066-6600
Kyle Tucci Nurse Practitioner St Josephs Medical PC 4507 Medical Ctr Dr, Fayetteville, NY 13066-6604
Hooman Ranjbaran Jahromi Cardiovascular Disease (cardiology) St Josephs Medical PC 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806
Tucker Harris Otolaryngology St Josephs Medical PC 4117 Medical Ctr Dr, Fayetteville, NY 13066-6600
Michael P Gabris Cardiovascular Disease (cardiology) St Josephs Medical PC 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1853
Dennis J Nave Family Medicine St Josephs Medical PC 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504
John P O'brien Family Medicine St Josephs Medical PC 4104 Medical Ctr Dr, Suite 104, Fayetteville, NY 13066-6635
Farron C Bennett Physician Assistant St Josephs Medical PC 615 N Seward Ave, Auburn, NY 13021-2107

Office Location

Street Address 4100 MEDICAL CTR DR
SUITE 117
City FAYETTEVILLE
State NY
Zip 13066

Physicians in the same zip code

Name Specialty Organization Address
Francis J Durgin Psychiatry 6836 E Genesee St, Fayetteville, NY 13066-1024
Patricia G Barletta Physician Assistant Wellnow Urgent Care PC 6870 E Genesee St, Fayetteville, NY 13066-1031
Alyssa Bovalino Physician Assistant Wellnow Urgent Care PC 6870 E Genesee St, Fayetteville, NY 13066-1031
Jason E Falcone Physician Assistant Wellnow Urgent Care PC 6870 E Genesee St, Fayetteville, NY 13066-1031
Glenn J Gilberg Physician Assistant Wellnow Urgent Care PC 6870 E Genesee St, Fayetteville, NY 13066-1031
Joseph Novek Podiatry 6950 E Genesee St, Fayetteville, NY 13066-1036
Michael A Giordano Chiropractic 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051
Stanton Tepfer Optometry Empire Vision Center Inc 6859 E Genesee St, Fayetteville, NY 13066-1086
Taryn A Bader Physical Therapy Onondaga Physical Therapy, LLC 6800 E Genesee St, Fayetteville, NY 13066-1089
Douglas Paul Fye Physical Therapy Onondaga Physical Therapy, LLC 6800 E Genesee St, Fayetteville, NY 13066-1089
Find all physicians in zip 13066

Competitor

Search similar physicians

City FAYETTEVILLE
Zip Code 13066
Specialty OTOLARYNGOLOGY
City + Specialty FAYETTEVILLE + OTOLARYNGOLOGY

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Dataset Information

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.

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