KELLY ELIZABETH FAULK (NPI# 1013274430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013274430 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH FAULK |
| Credential | M.D. |
| Practice Address |
13001 E 17th Pl Aurora CO 80045-2570 |
| Mailing Address |
2262 Valentia St Denver CO 80238-3057 |
| Practice Telephone | 3037246031 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
55197 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13123 E 16th Ave, Aurora, CO 800457106 | 7207771234 |
| Street Address |
13001 E 17TH PL |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457323818 | Larry Warren Fisher | Social Worker | 13001 E 17th Pl, Va Outpatient Clinic, Aurora, CO 80010-7238 | 2006-02-01 |
| 1275141756 | Fabio Grassia | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-07-21 |
| 1033731609 | Evan Plys | Psychologist | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-05-17 |
| 1669094843 | Jessica Megan Ross | Psychologist | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-05-11 |
| 1356961254 | Sarah Quaratella | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-21 |
| 1376163493 | Robert Jordan Williams | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-18 |
| 1871113134 | Amy Franks | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-16 |
| 1346869740 | Jacob Hershey | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-15 |
| 1063031581 | Katherine Cecilia Branche | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-14 |
| 1841819372 | Elia R Rieder | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104115765 | Mark Eric Kohler | Pediatrics | 13123 E 16th Ave # Ms 8302, Aurora, CO 80045-7106 | 2011-04-05 |
| 1538360185 | Terry J Fry | Pediatrics | Chco, Ccbd, Bone Marrow Transplant, B115, 13123 E. 16th Avenue, Aurora, CO 80045 | 2007-05-30 |
| 1477516391 | Joanne M. Hilden | Pediatrics | 13123 E 16th St, Box B115, Aurora, CO 80045 | 2006-04-11 |
| 1013303098 | Laura Mclaughlin Cobb | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-07 |
| 1639597305 | Colin J Sallee | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-03-31 |
| 1588008858 | Priya P Chan | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-04-17 |
| 1760825343 | Nathan A Dahl | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-04-12 |
| 1982960845 | Jenna Michelle Sopfe | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045 | 2012-04-04 |
| 1679862841 | Pavel Davizon Castillo | Pediatrics | 13123 E 16th Ave # B115, Aurora, CO 80045 | 2011-03-28 |
| 1366746893 | Lindsey Marie Hoffman | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-12-23 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.