Holly Creighton Kelly (NPI# 1619076528, PAC ID# 1557264272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1619076528 |
| PAC ID by PECOS | 1557264272 |
| Professional Enrollment ID | I20040129001246 |
| Full Name | Holly Creighton Kelly |
| Organization Legal Name | CALIFORNIA ORTHOPEDICS AND SPINE INC |
| Address |
2 Bon Air Rd Suite 120 Larkspur CA 94939-1142 |
| Phone Number | 4154962812 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 7517859630 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050360 | MARIN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 | 4154962812 | CALIFORNIA ORTHOPEDICS AND SPINE INC |
| Organization Legal Name | CALIFORNIA ORTHOPEDICS AND SPINE INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Gregory Frost | Physical Therapy | California Orthopedics and Spine Inc | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1139 |
| Thomas Jin Kim | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Daniel Jordan Solomon | Sports Medicine | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Kathleen Strahm | Physician Assistant | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Chris Kane | Physical Therapy | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Lisa V Elvin | Nurse Practitioner | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| David H Goltz | Sports Medicine | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Michael D Hellman | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Ramana K Naidu | Anesthesiology | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Michael J Oechsel | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Street Address |
2 BON AIR RD SUITE 120 |
| City | LARKSPUR |
| State | CA |
| Zip | 94939-1142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Jordan Solomon | Sports Medicine | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Keith F Korver | Thoracic Surgery | Keith F. Korver, Md A Professional Medical Corporation | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1144 |
| Ernest H Sponzilli | Physical Medicine and Rehabilitation | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Michelle L Bauer | Physician Assistant | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Kevin J Holman | Physician Assistant | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Scot Merrick | Thoracic Surgery | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1144 | |
| Katherine A Mcevoy | Physician Assistant | California Orthopedics and Spine Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Michael S Stock | Orthopedic Surgery | Mt Tam Orthopedics, A Medical Center, Inc | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald R Ward | Otolaryngology | 1000 Magnolia Ave, Suite A, Larkspur, CA 94939-1016 | |
| Thomas Jin Kim | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Kathleen Strahm | Physician Assistant | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Chris Kane | Physical Therapy | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Lisa V Elvin | Nurse Practitioner | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| David H Goltz | Sports Medicine | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Michael D Hellman | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Ramana K Naidu | Anesthesiology | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Michael J Oechsel | Orthopedic Surgery | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Mark Lawler | Sports Medicine | California Orthopedics and Spine Inc | 18 Bon Air Rd, Larkspur, CA 94939-1123 |
| Find all physicians in zip 94939 | |||
| City | LARKSPUR |
| Zip Code | 94939 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LARKSPUR + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Holly Creighton 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.