Michael Kelly (NPI# 1245318971, PAC ID# 8022297563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245318971 |
| PAC ID by PECOS | 8022297563 |
| Professional Enrollment ID | I20110128001000 |
| Full Name | Michael Kelly |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
7373 W Lane Stockton CA 95210-3377 |
| Phone Number | 2094762000 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 9166882000 | PERMANENTE MEDICAL GROUP INC |
| 7373 W Lane, Stockton, CA 95210-3377 | 2094762000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
7373 W LANE |
| City | STOCKTON |
| State | CA |
| Zip | 95210-3377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Kim | Anesthesiology | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Carolyn C Cole | Emergency Medicine | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Pushkinder S Samrao | Internal Medicine | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Sasis T Sirikanjanapong | Pathology | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Julie K Motosue Brennan | Psychiatry | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Sylvia Fernandes | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Michael J Thornton | Critical Care (intensivists) | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Garabet S Khatchikian | Internal Medicine | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Jeffrey S Skilling | Gynecological Oncology | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Elmer E Gurmai | Psychiatry | Permanente Medical Group Inc | 7373 W Lane, Stockton, CA 95210-3377 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuemeka P Chikwendu | Optometry | 7743 W Ln, A2, Stockton, CA 95210-3350 | |
| Kelly A Mcgrane | Optometry | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Sweet V Allen | Internal Medicine | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Yeeyie Eva Fogarty | Radiation Oncology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Jill D Mackinnon | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Ashley Y Vande Kieft | Obstetrics/gynecology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Rama Balaji | Psychiatry | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Ryan T Finlayson | Emergency Medicine | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Lester G Reffigee | Obstetrics/gynecology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Linda V Packia Raj | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Find all physicians in zip 95210 | |||
| City | STOCKTON |
| Zip Code | 95210 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STOCKTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael 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.