Russell A Kelly (NPI# 1043316532, PAC ID# 4981760972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043316532 |
| PAC ID by PECOS | 4981760972 |
| Professional Enrollment ID | I20090226000355 |
| Full Name | Russell A Kelly |
| Organization Legal Name | PAIN MANAGEMENT CENTERS OF NEW ENGLAND LLC |
| Address |
21 Highland Ave Suite 16 Newburyport MA 01950-3873 |
| Phone Number | 8777326960 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5597982165 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| 220029 | ANNA JAQUES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 480 Maple St, Danvers, MA 01923-4065 | 9786048601 | PAIN MODULATION ASSOCIATES PLLC |
| 298 Washington St, Gloucester, MA 01930-4832 | 9783817552 | PAIN MODULATION ASSOCIATES PLLC |
| 21 Highland Ave, Suite 16, Newburyport, MA 01950-3873 | 8777326960 | PAIN MANAGEMENT CENTERS OF NEW ENGLAND LLC |
| Organization Legal Name | PAIN MANAGEMENT CENTERS OF NEW ENGLAND LLC |
| Physicians | 1 |
| Street Address |
21 HIGHLAND AVE SUITE 16 |
| City | NEWBURYPORT |
| State | MA |
| Zip | 01950-3873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadruddin B Hemani | Otolaryngology | 21 Highland Ave, Suite 10, Newburyport, MA 01950-3873 | |
| Bernhard Heersink | Ophthalmology | 21 Highland Ave, Suite 1, Newburyport, MA 01950-3873 | |
| Courtney R Lucey | Physician Assistant | Highland Primary Care Associates Inc. | 21 Highland Ave, Suite 2, Newburyport, MA 01950-3873 |
| Brittany Cook Kane | Obstetrics/gynecology | Physicians To Women, Inc. | 21 Highland Ave, Suite 200, Roanoke, VA 24013-2224 |
| Lara Melchionda | Physician Assistant | Riversong Plastic Surgery PC | 21 Highland Ave, Suite 3 4a, Newburyport, MA 01950-3872 |
| Andrew Banos | Orthopedic Surgery | Seacoast Orthopedic Assoc Inc | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3873 |
| Robert Slocum | Family Medicine | Seacoast Affiliated Group Practice Inc | 21 Highland Ave, Newburyport, MA 01950-3872 |
| Thomas Liu | Internal Medicine | Seacoast Affiliated Group Practice Inc | 21 Highland Ave, Newburyport, MA 01950-3872 |
| Guido A Navarra | Internal Medicine | Seacoast Medical Associates, PC | 21 Highland Ave, Suite 24, Newburyport, MA 01950-3873 |
| Nadine Christine Daou | Nurse Practitioner | Seacoast Affiliated Group Practice Inc | 21 Highland Ave, Newburyport, MA 01950-3872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Baures | Psychologist, Clinical | 266 Cabot St, Suite 8, Beverly, MA 01950 | |
| Paul S Freedberg | Urology | Urology Consultants of Ns | 1 Wallace Bashaw Jr Way, Suite 3003, Newburgport, MA 01950 |
| Natalie Perez | Physician Assistant | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Michelle R Laflamme | Emergency Medicine | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Rebecca Rideout | Physician Assistant | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Kelsey E Gross | Physician Assistant | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Steven M Bean | Family Medicine | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Colleen E Gorman | Nurse Practitioner | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Michael J Walsh Sr. | Nurse Practitioner | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Tara A Doherty | Nurse Practitioner | Convenientmd LLC | 29 Storey Ave, Newburyport, MA 01950-1843 |
| Find all physicians in zip 01950 | |||
| City | NEWBURYPORT |
| Zip Code | 01950 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWBURYPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Russell A 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.