CHARLES MICHAEL KELLY II (NPI# 1093247447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093247447 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL KELLY II |
| Other Name | C. MICHAEL KELLY II |
| Practice Address |
210 9th St Se Rochester MN 55904-6756 |
| Practice Telephone | 5072883443 |
| Mailing Telephone | 5072883443 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67391 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366765661 | Charles Christopher Kelly | Massage Therapist | 124 Arborgate Cir, Columbia, SC 29212-2465 | 2010-03-01 |
| 1730123639 | Charles E Kelly | Specialist | 3050 Centre Pointe Drive, Suite 200, Roseville, MN 55113 | 2006-06-15 |
| 1780678979 | Charles E Kelly II | Specialist | 2839 Hwy 231 North, Suite 208a, Shelbyville, TN 37160-7449 | 2005-09-02 |
| 1922588292 | Charles Kelly | Physical Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681 | 2018-08-16 |
| 1508013103 | Charles J Kelly | Counselor | 21 Franciscan Way, Garrison, NY 10524-0150 | 2008-08-26 |
| 1518025683 | Charles L Kelly | Social Worker | 40 Industrial Park Rd, Department of Mental Health, Plymouth, MA 02360-4884 | 2006-12-04 |
| 1447367461 | Charles Francis Kelly | Chiropractor | 36410 Garfield, Clinton Township, MI 48035-1131 | 2006-08-24 |
| 1760402473 | Charles A. Kelly | Psychiatry & Neurology | 913 Bowman Rd # B, Mt Pleasant, SC 29464-3235 | 2006-07-19 |
| 1528009800 | Charles Michael Kelly | Orthopaedic Surgery | 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372 | 2006-06-09 |
| 1083674352 | Charles A Kelly | Anesthesiology | 40 Second Ave, Waltham, MA 02451 | 2006-03-23 |
| Street Address |
210 9TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013539 | Graham Douglas Ritts | Orthopaedic Surgery | 210 9th St Se, Rochester, MN 55904-6756 | 2005-06-21 |
| 1134774730 | Beau Bachman | Specialist/Technologist | 210 9th St Se, Rochester, MN 55904-6756 | 2019-08-09 |
| 1285192641 | Erica Dawn Runkle | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2019-03-05 |
| 1629553102 | Tarra J Lewis | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-10-01 |
| 1295220994 | Erica Behrens | Psychologist | 210 9th St Se, Rochester, MN 55904-6756 | 2018-06-25 |
| 1740785849 | Hamed Esfandiari | Ophthalmology | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-29 |
| 1962906982 | Tanelle Nicole Franko | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904 | 2018-03-23 |
| 1740782549 | Susan E Orlowski | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-07 |
| 1104327022 | Jacquelyn M Proper | Nurse Anesthetist, Certified Registered | 210 9th St Se, Rochester, MN 55904-6756 | 2018-02-26 |
| 1700399292 | Kelsey L Miller | Physician Assistant | 210 9th St Se, Rochester, MN 55904-6756 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1982132635 | Stephanie Parvan | Family Medicine | 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 | 2017-05-25 |
| 1659804169 | Natasha Vadera | Family Medicine | Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 | 2017-04-11 |
| 1467804203 | Izabela Teresa Subczynska | Family Medicine | 454 E Broad St Ste 100, Rochester, NY 14607-1724 | 2016-07-05 |
| 1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1851705628 | Resika Ubayawardena | Family Medicine | 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 | 2014-06-19 |
| 1942613344 | Lishan Jhanealle Walker | Family Medicine | 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 | 2014-06-04 |
| Find all providers in ROCHESTER | ||||
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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.