DR. PETER F KELLY (NPI# 1114907458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114907458 |
| Entity Type | Individual |
| Full Name | DR. PETER F KELLY |
| Credential | D.P.M. |
| Practice Address |
4106 Electric Rd Roanoke VA 24014-2814 |
| Mailing Address |
Po Box 20566 Roanoke VA 24018-0057 |
| Practice Telephone | 5409893338 |
| Practice Fax Number | 5409895425 |
| Mailing Telephone | 5409893338 |
| Mailing Fax Number | 5409895425 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103000746 | VA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342245 | Peter Isaac Kelly | Technician | 17375 E Adriatic Dr Apt N102, Aurora, CO 80013-4138 | 2018-10-22 |
| 1982869467 | Peter Kelly | Family Medicine | 110 Marter Ave Ste 503, Moorestown, NJ 08057-3120 | 2008-07-23 |
| 1649271883 | Peter J Kelly | Ophthalmology | 1504 N Main St, Palmer, MA 01069-1215 | 2005-08-10 |
| 1548876154 | Peter Kelly | Occupational Therapist | 313 W County Line Rd, Hatboro, PA 19040-1102 | 2020-09-18 |
| 1730737529 | Peter Kelly | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2019-08-27 |
| 1396390118 | Peter Kelly | Physical Therapist | 940 High St, Westwood, MA 02090-2762 | 2019-08-08 |
| 1649558412 | Peter J Kelly | Dentist | 2520 Us Highway 1 S, St Augustine, FL 32086-6194 | 2011-07-28 |
| 1578853099 | Peter Kelly | Nurse Practitioner | 27005 76th Ave, Oncology Bldg., 3rd Floor, New Hyde Park, NY 11040-1402 | 2011-04-18 |
| 1205080850 | Peter Hamilton Kelly | Emergency Medicine | 776a Watervliet Shaker Rd, Access Health Systems, Latham, NY 12110 | 2008-11-10 |
| 1356557524 | Peter Meagher Kelly | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-05-15 |
| Street Address |
4106 ELECTRIC RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666971 | Virtual Foot and Ankle Care, LLC | Podiatrist | 5970 Derwent Rd, Powhatan, VA 23139-4620 | 2020-10-16 |
| 1891137048 | Tidewater Foot Center LLC | Podiatrist | 126 Monarch Dr, Newport News, VA 23602-6884 | 2013-07-29 |
| 1346540515 | All American Podiatry and Wound Care, P.C. | Podiatrist | 4620 Bunker Hill Ln, Virginia Beach, VA 23462-2245 | 2010-10-22 |
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1942326137 | Rosemary Cecile O'grady | Podiatrist | 1942 William St, Fredericksburg, VA 22401-5128 | 2007-03-21 |
| 1144360058 | Podiatric Care of Northern Virginia, PC | Podiatrist | 821 S King St Ste I, Leesburg, VA 20175-3922 | 2007-02-08 |
| 1477638526 | Jerald A. Kriger | Podiatrist | 8605 Sudley Rd, Manassas, VA 20110-4583 | 2006-10-26 |
| 1275623043 | Virginia Footcare Center, LLC | Podiatrist | 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554-1767 | 2006-10-13 |
| 1265538979 | Paul Thomas Spada | Podiatrist | 533 Rodney Ln, Virginia Beach, VA 23464-2227 | 2006-09-16 |
| 1538279260 | Hampton Roads Podiatry PC | Podiatrist | 5241 Princess Anne Road Suite 102, Va Beach, VA 23462 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.