Michael Todd Mckelvey (NPI# 1063477008, PAC ID# 2567469794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1063477008 |
| PAC ID by PECOS | 2567469794 |
| Professional Enrollment ID | I20061101000482 |
| Full Name | Michael Todd Mckelvey |
| Organization Legal Name | NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER |
| Address |
925 N Hamilton Rd Suite 100 Gahanna OH 43230-8709 |
| Phone Number | 6144739519 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2264439181 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 925 N Hamilton Rd, Suite 100, Gahanna, OH 43230-8709 | 6144739519 | NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannie Hennessy | Pathology | Northeast Dermatology and Cosmetic Surgery Center | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 |
| Joel Bain Herron | Dermatology | Northeast Dermatology and Cosmetic Surgery Center | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 |
| Kaitlin M Schupp | Physician Assistant | Northeast Dermatology and Cosmetic Surgery Center | 925 N Hamilton Rd, Suite 100, Gahanna, OH 43230-8709 |
| Monique E Kademian | Dermatology | Northeast Dermatology and Cosmetic Surgery Center | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 |
| Stephanie L Cotell | Dermatology | Northeast Dermatology and Cosmetic Surgery Center | 925 N Hamilton Rd, Suite 100, Gahanna, OH 43230-8709 |
| Lisa Lashawn Miller | Nurse Practitioner | Northeast Dermatology and Cosmetic Surgery Center | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 |
| Street Address |
925 N HAMILTON RD SUITE 100 |
| City | GAHANNA |
| State | OH |
| Zip | 43230-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin M Schupp | Physician Assistant | Northeast Dermatology and Cosmetic Surgery Center | 925 N Hamilton Rd, Suite 100, Gahanna, OH 43230-8709 |
| Stephanie L Cotell | Dermatology | Northeast Dermatology and Cosmetic Surgery Center | 925 N Hamilton Rd, Suite 100, Gahanna, OH 43230-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Bacon | Family Medicine | Drs. Bacon and Hooper, Inc. | 1045 Beecher Crossing N, Suite B, Gahanna, OH 43230 |
| Kimberly C Hooper | Family Medicine | Drs. Bacon and Hooper, Inc. | 1045 Beecher Crossing N, Suite B, Gahanna, OH 43230 |
| Christopher A Hess | Chiropractic | 830 E Johnsontown Rd, Gahanna, OH 43230-0001 | |
| Emily Evans | Physical Therapy | Ohrh, LLC | 5650 N Hamilton Rd, Columbus, OH 43230-1324 |
| Brian M Sammon | Family Practice | Ohiohealth Urgent Care LLC | 5610 N Hamilton Rd, Columbus, OH 43230-1324 |
| Gisele Johnson | Physical Therapy | Ohrh, LLC | 5650 N Hamilton Rd, Columbus, OH 43230-1324 |
| Patrick Joseph Dineen | Internal Medicine | 5691 Thompson Rd, Columbus, OH 43230-1345 | |
| Bradley Alan Otto | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Susan C Massick | Dermatology | Osu Internal Medicine, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Brenda B Hall | Qualified Audiologist | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Find all physicians in zip 43230 | |||
| City | GAHANNA |
| Zip Code | 43230 |
| Specialty | DERMATOLOGY |
| City + Specialty | GAHANNA + DERMATOLOGY |
Please comment or provide details below to improve the information on Michael Todd Mckelvey.
| 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.