Larisa Kelley (NPI# 1407924558, PAC ID# 9638265572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1407924558 |
| PAC ID by PECOS | 9638265572 |
| Professional Enrollment ID | I20081111000440 |
| Full Name | Larisa Kelley |
| Organization Legal Name | PBDANDP INC |
| Address |
4477 Medical Ctr Way Suite A West Palm Beach FL 33407-3286 |
| Phone Number | 5614711808 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6709864218 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4477 Medical Ctr Way, Suite A, West Palm Beach, FL 33407-3286 | 5614711808 | PBDANDP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | PBDANDP INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Salvatore Dibacco | Dermatology | Pbdandp Inc | 5053 S Congress Ave, Suite 204, Lake Worth, FL 33461-4706 |
| Steven Peter Rosenberg | Dermatology | Pbdandp Inc | 470 Columbia Dr, A102, West Palm Beach, FL 33409-1983 |
| Sowmya Kishor | Dermatology | Pbdandp Inc | 4475 Medical Ctr Way, Suite 2, West Palm Beach, FL 33407-3240 |
| Oren H Lifshitz | Dermatology | Pbdandp Inc | 10887 N Military Trl, Suite 8, Palm Beach Gardens, FL 33410-6528 |
| Brian B Lambert | Physician Assistant | Pbdandp Inc | 6894 Lake Worth Rd, Suite 201, Lake Worth, FL 33467-2964 |
| Ellis J Gottesfeld | Dermatology | Pbdandp Inc | 7730 Boynton Beach Blvd, Suite 4, Boynton Beach, FL 33437-6155 |
| Michael A Sherling | Dermatology | Pbdandp Inc | 5053 S Congress Ave, Suite 204, Lake Worth, FL 33461-4706 |
| John Paul Kowalczyk | Dermatology | Pbdandp Inc | 4495 Military Trl, Suite 204, Jupiter, FL 33458-4818 |
| Patric Mcpoland | Dermatology | Pbdandp Inc | 4475 Medical Ctr Way, Suite 2, West Palm Beach, FL 33407-3240 |
| Andrea F Chen | Dermatology | Pbdandp Inc | 4477 Medical Ctr Way, West Palm Beach, FL 33407-3286 |
| Street Address |
4477 MEDICAL CTR WAY SUITE A |
| City | WEST PALM BEACH |
| State | FL |
| Zip | 33407-3286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea F Chen | Dermatology | Pbdandp Inc | 4477 Medical Ctr Way, West Palm Beach, FL 33407-3286 |
| Michael Nowak | Pathology | Pbdandp Inc | 4477 Medical Ctr Way, Suite B, West Palm Beach, FL 33407-3286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane P Clarke | Internal Medicine | 801 Northpoint Pkwy, Suite 83, West Palm Beach, FL 33407-1812 | |
| Rodney L Scherle | Optometry | South Florida Eye Pa | 4295 45th St, West Palm Beach, FL 33407-1859 |
| Enhui Ko | Optometry | South Florida Eye Pa | 4295 45th St, West Palm Beach, FL 33407-1859 |
| Kelly M Vangilder | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Peter Sherman | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, Suite 200, West Palm Beach, FL 33407-1901 |
| Amy N Banooni | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Heather L Sullivan | Nurse Practitioner | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Cecile A Walker | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| David K Choi | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, Suite 200, West Palm Beach, FL 33407-1901 |
| John W Caravello | Obstetrics/gynecology | Florida Woman Care LLC | 770 Northpoint Pkwy, West Palm Beach, FL 33407-1901 |
| Find all physicians in zip 33407 | |||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEST PALM BEACH + DERMATOLOGY |
Please comment or provide details below to improve the information on Larisa Kelley.
| 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.