Tracy Dean Kelley (NPI# 1851943757, PAC ID# 2466783170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851943757 |
| PAC ID by PECOS | 2466783170 |
| Professional Enrollment ID | I20191010002625 |
| Full Name | Tracy Dean Kelley |
| Organization Legal Name | DAYTON CENTER FOR NEUROLOGICAL DISORDERS INC |
| Address |
1975 Miamisburg Centerville Rd Centerville OH 45459-3811 |
| Phone Number | 9374396186 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082501853 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360175 | CLINTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 9374396186 | DAYTON CENTER FOR NEUROLOGICAL DISORDERS INC |
| Organization Legal Name | DAYTON CENTER FOR NEUROLOGICAL DISORDERS INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cathy Sue Ernst | Nurse Practitioner | Dayton Center for Neurological Disorders Inc | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 |
| Martha Elizabeth Girolamo | Nurse Practitioner | Dayton Center for Neurological Disorders Inc | 2510 Commons Blvd, Suite 276, Beavercreek, OH 45431-3820 |
| James G Beegan | Physical Medicine and Rehabilitation | Dayton Center for Neurological Disorders Inc | 7677 Yankee St, Suite 110, Centerville, OH 45459-3454 |
| Ryan Maenpa | Physical Medicine and Rehabilitation | Dayton Center for Neurological Disorders Inc | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 |
| Kenneth A Mankowski | Neurology | Dayton Center for Neurological Disorders Inc | 2510 Commons Blvd, Suite 276, Beavercreek, OH 45431-3820 |
| Brandi Ballantyne | Nurse Practitioner | Dayton Center for Neurological Disorders Inc | 2510 Commons Blvd, Suite 276, Beavercreek, OH 45431-3820 |
| Street Address |
1975 MIAMISBURG CENTERVILLE RD |
| City | CENTERVILLE |
| State | OH |
| Zip | 45459-3811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cathy Sue Ernst | Nurse Practitioner | Dayton Center for Neurological Disorders Inc | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 |
| Ryan Maenpa | Physical Medicine and Rehabilitation | Dayton Center for Neurological Disorders Inc | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
| James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
| Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
| Find all physicians in zip 45459 | |||
| City | CENTERVILLE |
| Zip Code | 45459 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CENTERVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy Dean 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.