JOHN S KELLY (NPI# 1033104849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033104849 |
| Entity Type | Individual |
| Full Name | JOHN S KELLY |
| Credential | MD |
| Practice Address |
710 Franklin St Suite 200 Michigan City IN 46360-3563 |
| Mailing Address |
Po Box 2000 Dyer IN 46311-0900 |
| Practice Telephone | 2198726200 |
| Practice Fax Number | 2198792915 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642649 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01024423A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200030090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
710 FRANKLIN ST SUITE 200 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750309 | Razia Begum | Pediatrics | 710 Franklin St, Michigan City, IN 46360-3563 | 2005-09-19 |
| 1134698749 | Elizabeth Shinn | Pharmacist | 710 Franklin St, Michigan City, IN 46360 | 2018-11-13 |
| 1972083442 | Gerald H Fagen | Pharmacist | 710 Franklin St, Michigan City, IN 46360-3563 | 2018-08-15 |
| 1700336799 | Umparrys Lynne' Witherspoon | Nurse Practitioner | 710 Franklin St, Ste 200, Michigan City, IN 46360-3563 | 2016-10-13 |
| 1770952582 | Kathy Nobles | Nurse Practitioner | 710 Franklin St, Suite 200, Michigan City, IN 46360-3563 | 2015-09-22 |
| 1619222163 | Dineke Francis | Registered Nurse | 710 Franklin St, Suite 200, Michigan City, IN 46360-3563 | 2012-07-20 |
| 1063781532 | Jennifer Evans | Registered Nurse | 710 Franklin St, Ste 200, Michigan City, IN 46360-3564 | 2011-12-29 |
| 1629305065 | Michelle Lynn Cannon | Dentist | 710 Franklin St, Suite 200, Michigan City, IN 46360-3563 | 2009-11-05 |
| 1447413448 | Hook-superx, L.L.C. | Pharmacy | 710 Franklin St, Michigan City, IN 46360-3563 | 2008-07-09 |
| 1104009000 | Carmen Bonita Mccoy | Social Worker | 710 Franklin St, Michigan City, IN 46360-3563 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560491 | Advanced Medical Strategies LLC | Internal Medicine | 3646 Wirth Rd, Highland, IN 46322-2218 | 2020-08-28 |
| 1508309295 | M Care Pllc | Internal Medicine | 443 Spring St Ste 2, Jeffersonville, IN 47130-4495 | 2016-11-29 |
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1154663763 | Alexander C. Gatzimos Md Jd | Internal Medicine | 2050 E Ireland Rd, South Bend, IN 46614-2909 | 2013-03-21 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1063659688 | Tochukwu C Iloabuchi | Internal Medicine | 6677 W May Apple Dr, Mccordsville, IN 46055-4447 | 2009-01-20 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1275667677 | Wound Care Specialists of Indiana PC | Internal Medicine | 1200 W Carmel Dr Ste 103, Carmel, IN 46032-8707 | 2007-03-15 |
| 1417082520 | Jeff C Darnell | Internal Medicine | 3829 East 126th Street, Carmel, IN 46033-3151 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.