Jason Kelty (NPI# 1043654007, PAC ID# 3577859750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1043654007 |
| PAC ID by PECOS | 3577859750 |
| Professional Enrollment ID | I20160914002419 |
| Full Name | Jason Kelty |
| Organization Legal Name | PODIATRY INC |
| Address |
3733 Park E Dr Suite 240 Beachwood OH 44122-4337 |
| Phone Number | 2162451290 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6507936671 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360144 | SOUTH POINTE HOSPITAL |
| 360230 | HILLCREST HOSPITAL |
| 360150 | SUMMA WESTERN RESERVE HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 | 2162451290 | PODIATRY INC |
| Organization Legal Name | PODIATRY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline M Tulodzieski | Podiatry | Podiatry Inc | 116 E Ave, Tallmadge, OH 44278-2300 |
| Joseph Angelo Favazzo | Podiatry | Podiatry Inc | 8382 Mentor Ave, Mentor, OH 44060-5748 |
| Christopher Andrew Tulodzieski | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Andrew J Diller | Podiatry | Podiatry Inc | 9630 Ravenna Rd, Suite 300, Twinsburg, OH 44087-6812 |
| Michael W Forman | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Edward J Floyd | Podiatry | Podiatry Inc | 3733 Park E Dr, Beachwood, OH 44122-4337 |
| Street Address |
3733 PARK E DR SUITE 240 |
| City | BEACHWOOD |
| State | OH |
| Zip | 44122-4337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel T Selekman | Clinical Social Worker | 3733 Park E Dr, Suite 102, Beachwood, OH 44122-4334 | |
| Jennifer Sidun Vincent | Optometry | Western Reserve Vision Care, Inc | 3733 Park E Dr, Suite 104, Beachwood, OH 44122-4334 |
| Christopher Andrew Tulodzieski | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Samantha R Zaczyk | Optometry | Western Reserve Vision Care, Inc | 3733 Park E Dr, Suite 104, Beachwood, OH 44122-4334 |
| Edwin Grant | Optometry | Western Reserve Vision Care, Inc | 3733 Park E Dr, Suite 104, Beachwood, OH 44122-4334 |
| Mary Jo Stiegemeier | Optometry | Western Reserve Vision Care, Inc | 3733 Park E Dr, Suite 104, Beachwood, OH 44122-4334 |
| Michael W Forman | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Edward J Floyd | Podiatry | Podiatry Inc | 3733 Park E Dr, Beachwood, OH 44122-4337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | BEACHWOOD |
| Zip Code | 44122 |
| Specialty | PODIATRY |
| City + Specialty | BEACHWOOD + PODIATRY |
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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.