Paul Kelley (NPI# 1548210602, PAC ID# 2163559238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548210602 |
| PAC ID by PECOS | 2163559238 |
| Professional Enrollment ID | I20100421000410 |
| Full Name | Paul Kelley |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
9250 N 3rd St Suite 2015 Phoenix AZ 85020-2404 |
| Phone Number | 6027860030 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9100 N 2nd St, 121 North Phoenix Medical Clinic, Phoenix, AZ 89020-2457 | 6029977331 | JOHN C LINCOLN LLC |
| 9250 N 3rd St, Suite 2015, Phoenix, AZ 85020-2404 | 6027860030 | JOHN C LINCOLN LLC |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lynn Stout | Nurse Practitioner | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Danielle J Mackelprang | Nurse Practitioner | John C Lincoln LLC | 3621 N Wells Fargo Ave, Scottsdale, AZ 85251-5607 |
| Jamillah L Ferguson | Nurse Practitioner | John C Lincoln LLC | 4131 N 24th St, Suite B102, Phoenix, AZ 85016-6231 |
| Chelsea J Thomsen | Internal Medicine | John C Lincoln LLC | 20330 N Cave Creek Rd, Suite 160, Phoenix, AZ 85024-1280 |
| Nicole A Konkowski | Family Medicine | John C Lincoln LLC | 9327 N 3 St, 100 Squaw Peak Family Medicine, Phoenix, AZ 85020-2471 |
| Lisa K Dela Cruz | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Traci E Jensen | Family Medicine | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Marlene T Patino | Physician Assistant | John C Lincoln LLC | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 |
| Therese G Argyros | Nurse Practitioner | John C Lincoln LLC | 4712 E Dynamite Blvd, Cave Creek, AZ 85331-6243 |
| Street Address |
9250 N 3RD ST SUITE 2015 |
| City | PHOENIX |
| State | AZ |
| Zip | 85020-2404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam M Sabbath | Cardiovascular Disease (cardiology) | Scottsdale Healthcare Corp | 9250 N 3rd St, Suite 2000, Phoenix, AZ 85020-2403 |
| John J Wells | Gastroenterology | Arizona Digestive Health PC | 9250 N 3rd St, Suite 4035, Phoenix, AZ 85020-2434 |
| Susan A Schmaltz | Nurse Practitioner | Scottsdale Healthcare Corp | 9250 N 3rd St, Suite 2000, Phoenix, AZ 85020-2403 |
| Donald O Christensen | Pathology | Western Pathology Associates, Ltd. | 9250 N 3rd St, Suite 4000, Phoenix, AZ 85020-2432 |
| Robert A Thomas | Ophthalmology | Risser Thomas Eye Clinic Ltd | 9250 N 3rd St, Suite 3030, Phoenix, AZ 85020-2412 |
| Deven S Gujrathi | Otolaryngology | Advanced Ear Nose and Throat Associates PC | 9250 N 3rd St, Suite 2025, Phoenix, AZ 85020-2404 |
| Michael T Mcbride | Pathology | Western Pathology Associates, Ltd. | 9250 N 3rd St, Suite 4000, Phoenix, AZ 85020-2432 |
| Michael F Foley | Gastroenterology | Arizona Digestive Health PC | 9250 N 3rd St, Suite 4035, Phoenix, AZ 85020-2434 |
| Gary S Kauffman | Cardiovascular Disease (cardiology) | Scottsdale Healthcare Corp | 9250 N 3rd St, Suite 2000, Phoenix, AZ 85020-2403 |
| Roni Benjamin Prucz | Plastic and Reconstructive Surgery | 9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2402 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara M Maxwell | Clinical Psychologist | Barbara M Maxwell, Phd, Plc | 11001 N 7th St, Apt 1183, Phoenix, AZ 85020-1142 |
| Patricia L Lehew | Chiropractic | 9812 N 7th St, Suite 6, Phoenix, AZ 85020-1763 | |
| Pablo A Prichard | Plastic and Reconstructive Surgery | 9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2402 | |
| Laura J Prokuski | Orthopedic Surgery | Sonoran Orthopaedic Trauma Surgeons | 9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2402 |
| Thomas C Fishler | Orthopedic Surgery | Sonoran Orthopaedic Trauma Surgeons | 9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2402 |
| Harry H Yu | Cardiovascular Disease (cardiology) | Scottsdale Healthcare Corp | 9250 N 3rd St, Suite 2000, Phoenix, AZ 85020-2403 |
| Louis H Rappoport | Orthopedic Surgery | 9250 N 3rd St, Suite 2020, Phoenix, AZ 85020-2404 | |
| Peter Niemczyk | Urology | 9250 N 3rd St, Suite 2007, Phoenix, AZ 85020-2404 | |
| Ben E Leff | Otolaryngology | Advanced Ear Nose and Throat Associates PC | 9250 N 3rd St, Suite 2025, Phoenix, AZ 85020-2404 |
| Susan Pendergast | Nurse Practitioner | Integrated Medical Services Inc | 9250 N 3rd St, Suite 2007, Phoenix, AZ 85020-2404 |
| Find all physicians in zip 85020 | |||
| City | PHOENIX |
| Zip Code | 85020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHOENIX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul Kelley.
| 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.