John P Kelly (NPI# 1477512234, PAC ID# 4183609019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1477512234 |
| PAC ID by PECOS | 4183609019 |
| Professional Enrollment ID | I20040625000087 |
| Full Name | John P Kelly |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Address |
1535 Medical Pkwy B Carson City NV 89703-4637 |
| Phone Number | 7754457960 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 1153479027 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| 291306 | CARSON VALLEY MEDICAL CENTER |
| 050352 | BARTON MEMORIAL HOSPITAL |
| 291314 | SOUTH LYON MEDICAL CENTER |
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1535 Medical Pkwy B, Carson City, NV 89703-4637 | 7754457960 | CARSON TAHOE PHYSICIAN CLINICS |
| 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 | 7754457170 | CARSON TAHOE PHYSICIAN CLINICS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 27% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 52% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 13% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 45% | |
| MIPS_EC_047_overall | Care Plan | 85% |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew William Gordon | Family Medicine | Carson Tahoe Physician Clinics | 10539 Professional Cir, Suite 200, Reno, NV 89521-3858 |
| Jeremy Friend | Nurse Practitioner | Carson Tahoe Physician Clinics | 775 Fleischmann Way, Fl 2, Carson City, NV 89703-2995 |
| Christopher R Vlasek | Family Medicine | Carson Tahoe Physician Clinics | 926 Incline Village Way, Suite 150, Incline Village, NV 89451-0001 |
| Mridula Vinjamuri | Hematology/oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Deborah Le Balch | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Carol J Daake | Nurse Practitioner | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| David M Baker | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Kindal Lee Andrews | Nurse Practitioner | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Mark T Brune | Internal Medicine | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Stephen M Tann | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| Street Address |
1535 MEDICAL PKWY B |
| City | CARSON CITY |
| State | NV |
| Zip | 89703-4637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mridula Vinjamuri | Hematology/oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Dina K Tack | Medical Oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Jorge H Perez | Hematology/oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail P Krivan | Physical Medicine and Rehabilitation | 1600 Med Pkwy, Carson City, NV 89703 | |
| Corinne Marie Holmes | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Christina Marie Taylor | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Martine G Hutton | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Erin G Pasley | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Melinda L Vicencio | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Carson City, NV 89703-1500 |
| Julie Irene Erb Lundergreen | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Kent W Gabriel | Hand Surgery | 704 W Nye Ln, Suite 102, Carson City, NV 89703-1569 | |
| Nanci H Campbell | Qualified Audiologist | 844 W Nye Ln, Suite 203, Carson City, NV 89703-1570 | |
| Stephen Palazzolo | Optometry | 844 W Nye Ln, Suite 104, Carson City, NV 89703-1571 | |
| Find all physicians in zip 89703 | |||
| City | CARSON CITY |
| Zip Code | 89703 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | CARSON CITY + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on John P Kelly.
| 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.