Michael Walker Kelly (NPI# 1013956150, PAC ID# 7113831314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1013956150 |
| PAC ID by PECOS | 7113831314 |
| Professional Enrollment ID | I20100804000930 |
| Full Name | Michael Walker Kelly |
| Organization Legal Name | THE KELLY EYE CENTER PA |
| Address |
8851 Ellstree Ln Suite 200 Raleigh NC 27617-2046 |
| Phone Number | 9192821100 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4587578786 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| 340132 | MARIA PARHAM MEDICAL CENTER |
| 340114 | REX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 | 9192821100 | THE KELLY EYE CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | THE KELLY EYE CENTER PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean W Smolenyak | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| John William Langel | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Street Address |
8851 ELLSTREE LN SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip | 27617-2046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Sunghoon Won | Oral Surgery | 8851 Ellstree Ln, Suite 116, Raleigh, NC 27617-2046 | |
| Sean W Smolenyak | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| John William Langel | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Portner | Chiropractic | Claudio Chiropractic and Wellness Pllc | 7841 Alexander Promenade Pl, Suite 120, Raleigh, NC 27617-1914 |
| Annina Marie Palucci Dougherty | Physical Therapy | Activcare Physical Therapy LLC | 7880 Alexander Promenade Pl, Raleigh, NC 27617-1918 |
| William Barrett Gunter | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Toby A Ritterhoff | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Thomas R Sneed | Psychiatry | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Samuel David Aloian | Physician Assistant | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Lisa Pacitti | Nurse Practitioner | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Birger Steven Bentsen | Psychiatry | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Angie C Capone | Nurse Practitioner | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Corilin N Meggitt | Nurse Practitioner | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Find all physicians in zip 27617 | |||
| City | RALEIGH |
| Zip Code | 27617 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | RALEIGH + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Michael Walker 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.