Carmel M Kelly (NPI# 1164416228, PAC ID# 4789631284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164416228 |
| PAC ID by PECOS | 4789631284 |
| Professional Enrollment ID | I20050406001046 |
| Full Name | Carmel M Kelly |
| Organization Legal Name | COMMUNITY PHYSICIANS ASSOCIATES INC |
| Address |
1093 N Main St Randolph MA 02368-2100 |
| Phone Number | 7819630676 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7315931482 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220108 | BETH ISRAEL DEACONESS HOSPITAL - MILTON |
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1093 N Main St, Randolph, MA 02368-2100 | 7819630676 | COMMUNITY PHYSICIANS ASSOCIATES INC |
| Organization Legal Name | COMMUNITY PHYSICIANS ASSOCIATES INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Baratz | Orthopedic Surgery | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| John F Mahoney | Neurology | Community Physicians Associates Inc | 92 Highland St, Milton, MA 02186-3800 |
| Ioana Fat | Internal Medicine | Community Physicians Associates Inc | 100 Highland St, Suite 201, Milton, MA 02186-3877 |
| Kendra A St Hilaire | Physician Assistant | Community Physicians Associates Inc | 92 Highland St, Milton, MA 02186-3800 |
| Nina Shervin | Orthopedic Surgery | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| John A Geary | Physician Assistant | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| Michael V Berry | Orthopedic Surgery | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| Dennis W Burke | Orthopedic Surgery | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| Carina Doyle | Physician Assistant | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| John W Macropoulos | Physician Assistant | Community Physicians Associates Inc | 100 Highland St, Suite 123, Milton, MA 02186-3881 |
| Street Address |
1093 N MAIN ST |
| City | RANDOLPH |
| State | MA |
| Zip | 02368-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Sheppard Reece | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Fiona Mudge | Psychiatry | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Jennifer L Gondelman | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Jessica L Kolczewski | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Harry Berg | Clinical Social Worker | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Peter J Erines | Psychologist, Clinical | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosemary Byrne | Nurse Practitioner | 1395 N Main St, Suite G, Randolph, MA 02368-1768 | |
| Marvin J Hertzel | Optometry | Personal Eyes Inc | 1157 N Main St, Randolph, MA 02368-2135 |
| Herbert E Lyken | Physical Therapy | 1183 N Main St, Randolph, MA 02368-2135 | |
| John J Manganaro | Clinical Social Worker | 85 Walsh St, Randolph, MA 02368-2648 | |
| Marian M Macartney | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Daniel M Springer | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Sandip Vyas | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Falguni Vyas | Physical Therapy | 123 Chestnut Cir, Randolph, MA 02368-2957 | |
| Joel T Chariton | Podiatry | 999 N Main St, Randolph, MA 02368-3072 | |
| Olarewaju J Oladipo | Orthopedic Surgery | 999 N Main St, Randolph, MA 02368-3072 | |
| Find all physicians in zip 02368 | |||
| City | RANDOLPH |
| Zip Code | 02368 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RANDOLPH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carmel M 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.