ANDREW NICHOLAS KELLY (NPI# 1104356377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104356377 |
Entity Type | Individual |
Full Name | ANDREW NICHOLAS KELLY |
Credential | PA-C |
Practice Address |
8835 Germantown Ave Philadelphia PA 19118-2718 |
Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
Practice Telephone | 2156877512 |
Enumeration Date | 2017-06-19 |
Last Update Date | 2018-10-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059231 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992888242 | Andrew Wayne Kelly | Dentist | 5710 W Gate City Blvd, Greensboro, NC 27407-7061 | 2006-10-23 |
1073625018 | Andrew John Kelly | Physician Assistant | 824 Main Street, Suite 100, Phoenixville, PA 19460 | 2006-08-31 |
1316920895 | Andrew P Kelly | Radiology | 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-11-29 |
1871593004 | Andrew Edward Kelly | Physical Therapist | 165 N Redwood Dr, San Rafael, CA 94903-1969 | 2005-07-29 |
1700348729 | Andrew David Kelly | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-04-01 |
1417422171 | Andrew Kelly | Assistant Behavior Analyst | 12505 Starkey Rd Ste J, Largo, FL 33773-2617 | 2018-10-09 |
1619467081 | Andrew Kelly | Counselor | 2715 Colonial Dr Ste 200a, Columbia, SC 29203-6818 | 2018-05-11 |
1396250981 | Andrew Kelly | Physical Therapist | 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 | 2017-12-05 |
1831519420 | Andrew Kelly | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Adult Primary Care Brownstone Clinic, Farmington, CT 06032 | 2014-04-22 |
1437492949 | Andrew Louis Kelly | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2013-04-03 |
Street Address |
8835 GERMANTOWN AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19118-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487657656 | Mulki Giridhar Bhat | Anesthesiology | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2005-05-23 |
1225645484 | Christina Rizzardi | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-09-30 |
1518575257 | Jin Oh Cho | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-20 |
1881212074 | Ryan Jeffrey Hippler | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-14 |
1356960686 | Abdul Abel Walters | Student in an Organized Health Care Education/Training Program | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-04-16 |
1821624990 | Amanda Stearns | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-03-20 |
1306476924 | Tower Health Medical Group | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-23 |
1285274969 | Chestnut Hill Clinic Company, LLC | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-10 |
1679131619 | Reid Ashton Singer | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2019-06-04 |
1730659707 | Alexander Mitchell | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2018-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801380126 | Bridget Hirsch | Psychologist | 18 E Abington Avenue, Philadelphia, PA 19118 | 2018-06-20 |
1740719194 | Alyssa H Bloch | Speech-Language Pathologist | 8431 Germantown Avenue, Philadelphia, PA 19118 | 2017-06-08 |
1710344056 | Zachary Roberts | Physical Therapist | 19 West Highland Avenue, Philadelphia, PA 19118 | 2016-01-18 |
1164847810 | Judith Maxwell | Family Medicine | 415 West Mermaid Ln, Philadelphia, PA 19118 | 2014-03-04 |
1174963151 | Deborah Hope Cooper | Counselor | 22 E. Chestnut Hill Avenue, Samaritan Counseling Service, Philadelphia, PA 19118 | 2013-07-05 |
1730524349 | Breast-pump-rental.com | Durable Medical Equipment & Medical Supplies | 112 W Gravers Lane, Philadelphia, PA 19118 | 2013-05-09 |
1083964902 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7700 Crittenden Ave., Philadelphia, PA 19118 | 2012-09-18 |
1215286679 | Jessica M Steedle | Speech-Language Pathologist | 102 East Mermaid Lane, Philadelphia, PA 19118 | 2012-08-31 |
1083960124 | Fahad Malik Akhtar | Family Medicine | 8815 Germantown Avenue, 5th Floor, Philadelphia, PA 19118 | 2012-07-26 |
1992026793 | Valerie Mikula Hughes | Dentist | 9 E. Highland Ave, Philadelphia, PA 19118 | 2010-06-15 |
Find all providers in zip 19118 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19118 |
Please comment or provide details below to improve the information on ANDREW NICHOLAS KELLY.
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.