John R Kelly (NPI# 1629151949, PAC ID# 7214971266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1629151949 |
| PAC ID by PECOS | 7214971266 |
| Professional Enrollment ID | I20120110000026 |
| Full Name | John R Kelly |
| Organization Legal Name | ONEIDA SURGICAL GROUP PC |
| Address |
357 Genesee St Suite 3 Oneida NY 13421-2693 |
| Phone Number | 3153638800 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3779527718 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330115 | ONEIDA HEALTHCARE CENTER |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 357 Genesee St, Suite 3, Oneida, NY 13421-2693 | 3153638800 | ONEIDA SURGICAL GROUP PC |
| 120 Hobart St, Utica, NY 13501-4308 | 3157981149 | ST ELIZABETH MEDICAL CENTER |
| Organization Legal Name | ONEIDA SURGICAL GROUP PC |
| Physicians | 1 |
| Street Address |
357 GENESEE ST SUITE 3 |
| City | ONEIDA |
| State | NY |
| Zip | 13421-2693 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Gorman | Nurse Practitioner | Oneida Medical Practice PC | 357 Genesee St, Suite 2, Oneida, NY 13421-2658 |
| Ellen T Goodwater | Nurse Practitioner | Oneida Medical Practice PC | 357 Genesee St, Suite 2, Oneida, NY 13421-2658 |
| Luann M Thayer | Nurse Practitioner | Associated Medical Professionals of Ny Pllc | 357 Genesee St, Oneida, NY 13421-2658 |
| Erin M Dupree | Nurse Practitioner | Oneida Medical Practice PC | 357 Genesee St, Suite 2, Oneida, NY 13421-2658 |
| Brent E Carlyle | Urology | Associated Medical Professionals of Ny Pllc | 357 Genesee St, Oneida, NY 13421-2658 |
| Brandi L Corigliano | Nurse Practitioner | Oneida Medical Practice PC | 357 Genesee St, Suite 2, Oneida, NY 13421-2658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Bailey | Occupational Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| John P Camilleri | Occupational Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Nicole M Reynolds | Physical Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Kimberly J Maykish | Physical Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Laurie J Mills | Physical Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Thomas L Murphy | Clinical Social Worker | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Tina M Wilcox | Clinical Social Worker | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Joseph T Himmelsbach | Psychologist, Clinical | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Kelly L Davis | Registered Dietitian Or Nutrition Professional | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Nicole M Sadowitz | Physical Therapy | Nysarc Inc. | 701 Lenox Ave, Oneida, NY 13421-1500 |
| Find all physicians in zip 13421 | |||
| City | ONEIDA |
| Zip Code | 13421 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ONEIDA + GENERAL SURGERY |
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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.