LAURENCE R KELLEY (NPI# 1083676498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083676498 |
| Entity Type | Individual |
| Full Name | LAURENCE R KELLEY |
| Credential | M.D. |
| Practice Address |
15215 Shady Grove Rd Suite 306 Rockville MD 20850-3235 |
| Practice Telephone | 3019900040 |
| Practice Fax Number | 3019900043 |
| Mailing Telephone | 3019900040 |
| Mailing Fax Number | 3019900043 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0047655 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BCBS OF DC INDIVIDUAL # | 0009 | 01 |
| DC | BCBS OF DC GROUP NUMBER | 4787 | 01 |
| MD | BCBS OF MD INDIVIDUAL # | 53607302 | 01 |
| MD | BCBS OF MD GROUP NUMBER | H830 | 01 |
| Street Address |
15215 SHADY GROVE RD SUITE 306 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480400 | Rohit Seem | Family Medicine | 15215 Shady Grove Rd, Ste 304, Rockville, MD 20850-0200 | 2006-01-05 |
| 1366819732 | Sheila Kathleen Nolan | Nurse Practitioner | 15215 Shady Grove Rd, Ste 100, Rockville, MD 20850-3235 | 2015-09-01 |
| 1477929859 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 15215 Shady Grove Rd, Suite 307, Rockville, MD 20850-3235 | 2015-08-19 |
| 1740606094 | Frances L. Watson D.d.s., P.c | Dentist | 15215 Shady Grove Rd, Rockville, MD 20850-3235 | 2014-03-11 |
| 1376986646 | Delta Family Medicine, LLC | Family Medicine | 15215 Shady Grove Rd, Suite 203, Rockville, MD 20850-3235 | 2013-04-16 |
| 1699028571 | Elizabeth Patricia Gladnick | Dentist | 15215 Shady Grove Rd, Suite 103, Rockville, MD 20850-3235 | 2012-10-17 |
| 1558611582 | Thomas Gladnick | Dentist | 15215 Shady Grove Rd, Suite 103, Rockville, MD 20850-3235 | 2012-09-18 |
| 1427217025 | Physicians Now, LLC. | Emergency Medicine | 15215 Shady Grove Rd, Suite 100, Rockville, MD 20850-3235 | 2008-06-09 |
| 1912021619 | Cardiovascular Consultants, P.a. | Specialist | 15215 Shady Grove Rd, Suite 306, Rockville, MD 20850-3235 | 2007-03-19 |
| 1962597021 | Shady Grove Pediatric Associates | Pediatrics | 15215 Shady Grove Rd, Suite 303, Rockville, MD 20850-3235 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1336385780 | Jack Phillip Segal | Internal Medicine | 11420 Strand Drive #413, Rockville, MD 20852 | 2009-01-06 |
| 1699736900 | Randall Brockman | Internal Medicine | 9200 Corporate Blvd, Hfz-450, Rockville, MD 20850-3229 | 2006-03-29 |
| 1790785616 | Montgomery Cardiology, LLC | Internal Medicine | 10110 Molecular Dr Ste 200, Rockville, MD 20850 | 2005-07-21 |
| 1194262428 | Washington Vascular Specialists of Hagerstown | Internal Medicine | 15245 Shady Grove Rd, Suit 325, Rockville, MD 20850-3222 | 2017-01-25 |
| 1689051245 | Ijaz & Ali LLC | Internal Medicine | 11119 Rockville Pike, Suite 100, Rockville, MD 20852-3143 | 2015-05-04 |
| 1073889069 | Advanced Cardiology | Internal Medicine | 11119 Rockville Pike, Suite 100, Rockville, MD 20852-3143 | 2012-03-24 |
| 1679711808 | Priti Kaur Sood | Internal Medicine | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 | 2009-01-26 |
| 1861656670 | Alexander Sebastiaan Asser | Internal Medicine | 15225 Shady Grove Rd, Suite 201, Rockville, MD 20850-3254 | 2008-07-11 |
| 1104099027 | Radhey S Murarka Md PC | Internal Medicine | 50 W Edmonston Dr, Ste 604, Rockville, MD 20852-1228 | 2008-04-11 |
| 1255473179 | Cardiac Associates, P.C. | Internal Medicine | 15225 Shady Grove Rd, Suite 201, Rockville, MD 20850-3254 | 2007-02-14 |
| Find all providers in ROCKVILLE | ||||
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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.