Stephen J Kellam (NPI# 1689659930, PAC ID# 3072591510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689659930 |
| PAC ID by PECOS | 3072591510 |
| Professional Enrollment ID | I20040710000243 |
| Full Name | Stephen J Kellam |
| Organization Legal Name | CARILION HEALTHCARE CORPORATION |
| Address |
215 Gilbert St Blacksburg VA 24060-3305 |
| Phone Number | 5402666800 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890607253 |
| Number of Group Practice Members | 463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 215 Gilbert St, Blacksburg, VA 24060-3305 | 5402666800 | CARILION HEALTHCARE CORPORATION |
| Organization Legal Name | CARILION HEALTHCARE CORPORATION |
| Physicians | 464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandee May | Nurse Practitioner | Carilion Healthcare Corporation | 40 Lambert St, Suite 522, Staunton, VA 24401-2446 |
| Jennifer Lynn Simpson | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Antonio B Roman | Family Medicine | Carilion Healthcare Corporation | 1107 Brookdale St, Suite A, Martinsville, VA 24112-4501 |
| David Song Ko | Family Medicine | Carilion Healthcare Corporation | 100 Health Ctr Dr, Bridgewater, VA 22812-9511 |
| Alex Christopher Holliday | Dermatology | Carilion Healthcare Corporation | 35 Medical Ct, Hardy, VA 24101-3992 |
| Kathleen Sabina Dunbar | Family Medicine | Carilion Healthcare Corporation | 428 S Magnolia Ave, Carilion Family Medicine Associated Physicians, Waynesboro, VA 22980-3629 |
| Frances Benko | Family Medicine | Carilion Healthcare Corporation | 796 Old Franklin Tpke, Rocky Mount, VA 24151-5507 |
| Cory Lee Cummings | Family Medicine | Carilion Healthcare Corporation | 901 Plantation Rd, Suite 1, Blacksburg, VA 24060-3833 |
| Michael Shawn Donovan | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1201 Elm St, Christianburg, VA 24073-1515 |
| Kate Rebekah Craighead | Nurse Practitioner | Carilion Healthcare Corporation | 1204 Franklin Rd Sw, Roanoke, VA 24016-4606 |
| Street Address |
215 GILBERT ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-3305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth M Mcintyre | Internal Medicine | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Amanda Belanger Luby | Nurse Practitioner | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Jaimie Nichole Ball | Nurse Practitioner | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Daniel C Terrell | Nurse Practitioner | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| William G Pearlman | Family Medicine | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Theophile A. Lyotard | Family Medicine | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Violet Wender | Nurse Practitioner | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Shannon Lowry | Nurse Practitioner | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Christopher K John | Orthopedic Surgery | Carilion Healthcare Corporation | 215 Gilbert St, Blacksburg, VA 24060-3305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLACKSBURG + FAMILY MEDICINE |
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| 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.