Jonathan D Kelly (NPI# 1053529446, PAC ID# 7517083926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053529446 |
| PAC ID by PECOS | 7517083926 |
| Professional Enrollment ID | I20100922001252 |
| Full Name | Jonathan D Kelly |
| Organization Legal Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Address |
120 Llano St Aztec NM 87410-2172 |
| Phone Number | 5053343404 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587559505 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Llano St, Aztec, NM 87410-2172 | 5053343404 | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Physicians | 135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Drake | Physician Assistant | San Juan Regional Medical Center Inc | 940 W Pinon St, Farmington, NM 87401-5905 |
| Daniel Mannas | Urology | San Juan Regional Medical Center Inc | 2700 Farmington Ave Bldg, E1 Sjrmc Urology, Farmington, NM 87401-4550 |
| Laura Waymire | Neurology | San Juan Regional Medical Center Inc | 407 S Schwartz Ave, 101 Sjrmc Neuroscience and Spine, Farmington, NM 87401-5925 |
| Charles E Page | Emergency Medicine | San Juan Regional Medical Center Inc | 801 W Maple St, Sjrmc Er Physicians, Farmington, NM 87401-5630 |
| Bronwyn Kathleen Radcliffe | Nurse Practitioner | San Juan Regional Medical Center Inc | 100 N Church St C, Bloomfield, NM 87413-5754 |
| Rachel K Chaney | Cardiovascular Disease (cardiology) | San Juan Regional Medical Center Inc | 1485 Florida Rd, Suite 103a, Durango, CO 81301-6873 |
| Ariadna Sadzine-bessinger | Psychiatry | San Juan Regional Medical Center Inc | 555 S Schwartz Ave, Behavioral Health Services, Farmington, NM 87401-5955 |
| Dwayne L Gibbs | General Surgery | San Juan Regional Medical Center Inc | 630 W Maple St, Sjrmc General Surgeons, Farmington, NM 87401-6113 |
| William F Palko Schraa | Family Medicine | San Juan Regional Medical Center Inc | 4820 E Main St, Farmington, NM 87402-8660 |
| Erin Kealey Philpott | Internal Medicine | San Juan Regional Medical Center Inc | 801 W Maple St, Farmington, NM 87401-5630 |
| Street Address |
120 LLANO ST |
| City | AZTEC |
| State | NM |
| Zip | 87410-2172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank W Arnold | Family Medicine | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
| Christen Marie Janney | Nurse Practitioner | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
| William R Barkman | Family Medicine | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Anthony Douglas Mcclain | Chiropractic | 1409 W Aztec Blvd, Suite 8, Aztec, NM 87410-1874 | |
| Margaret I Gores | Physical Therapy | Physical Therapy and Sports Medicine of Northern New Mexico, Inc. | 505 N Main Ave, Aztec, NM 87410-1975 |
| Sid S Mosiman | Physical Therapy | Physical Therapy and Sports Medicine of Northern New Mexico, Inc. | 505 N Main Ave, Aztec, NM 87410-1975 |
| Summer L Graham | Chiropractic | 318 E Chuska St, Aztec, NM 87410-2115 | |
| Ian T Kirste | Optometry | 121 S Main Ave, Optik Icare Iwear, Aztec, NM 87410-2120 | |
| Bryan S Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410-2226 | |
| James Santos | Physical Medicine and Rehabilitation | Spine Colorado PC | 604 S Rio Grande Ave, Aztec, NM 87410-2260 |
| April J Leuzinger | Physician Assistant | Aztec Urgent Care, LLC | 604 S Rio Grande Ave, Aztec, NM 87410-2260 |
| Sara Burcham | Physician Assistant | Aztec Urgent Care, LLC | 604 S Rio Grande Ave, Aztec, NM 87410-2260 |
| Lynn Marie Joselyn | Physician Assistant | Aztec Urgent Care, LLC | 604 S Rio Grande Ave, Aztec, NM 87410-2260 |
| Find all physicians in zip 87410 | |||
| City | AZTEC |
| Zip Code | 87410 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AZTEC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jonathan D 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.