SCOTT STREATER KELLEY (NPI# 1114939212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114939212 |
| Entity Type | Individual |
| Full Name | SCOTT STREATER KELLEY |
| Credential | MD |
| Practice Address |
3609 Sw Durham Dr Durham NC 27707-6507 |
| Mailing Address |
3609 Southwest Durham Drive North Carolina Orthopaedic Clinic Durham NC 27707-6507 |
| Practice Telephone | 9194035151 |
| Mailing Telephone | 9194035151 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35942 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023445392 | Scott Brandon Kelley | Chiropractor | 1370 Pantheon Way Ste 160, San Antonio, TX 78232-2341 | 2013-10-02 |
| 1518197797 | Scott R. Kelley | Physical Therapist | 1305 Texas Avenue, Alexandria, LA 71301 | 2009-07-22 |
| 1851757132 | Scott K Kelley | Physical Therapy Assistant | 211 E 3rd Ave, Mancos, CO 81328-9079 | 2016-01-03 |
| 1447689070 | Scott David Kelley | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2013-11-04 |
| 1902195381 | Scott R Kelley | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-04-06 |
| 1144348970 | Scott Andrew Kelley | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2007-03-27 |
| 1295769388 | Scott D Kelley | Anesthesiology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-11 |
| 1811938996 | Scott T. Kelley | Surgery | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-06-09 |
| 1700863685 | Scott W. Kelley | Pathology | 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005-3111 | 2005-12-30 |
| 1326041757 | Scott T Kelley | Internal Medicine | 840 Montclair Rd, Ste 500, Birmingham, AL 35213-1946 | 2005-05-31 |
| Street Address |
3609 SW DURHAM DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839012 | Private Diagnostic Clinic, Pllc | Podiatrist | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2006-07-09 |
| 1962050161 | Shannon Wyatt | Occupational Therapist | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2019-08-30 |
| 1740763499 | Elizabeth Kilborn | Physical Therapist | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2018-09-10 |
| 1962952093 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2016-10-13 |
| 1447707302 | Saisanjana Vattigunta | Specialist/Technologist | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2016-09-07 |
| 1669839916 | Casey Allen Clarke | Physician Assistant | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2016-01-18 |
| 1770954901 | Kyle Sloate Kirkland | Physician Assistant | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2015-10-14 |
| 1770967119 | Ziyan Zhang | Physical Therapist | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2015-07-15 |
| 1164713947 | Christopher Scott Klifto | Orthopaedic Surgery | 3609 Sw Durham Dr, Durham, NC 27707 | 2011-04-27 |
| 1922316116 | Nicole Marie Graf-perkins | Orthopaedic Surgery | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2010-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437546934 | Hari Shankar Mitra | Orthopaedic Surgery | 40 Duke Medicine Cir # 1b1c, Durham, NC 27710-3761 | 2015-04-22 |
| 1275945297 | Jay Paul Willhite | Orthopaedic Surgery | 1905 Childrens Health Ctr Department of Radiology, Durham, NC 27710 | 2014-05-26 |
| 1912263880 | Daniel Mangiapani | Orthopaedic Surgery | 2227 Meade Ln, Durham, NC 27707-2964 | 2012-04-05 |
| 1730356056 | Melissa Maria Erickson | Orthopaedic Surgery | 30 Duke Medicine Cir, Durham, NC 27710-3000 | 2008-05-15 |
| 1134203029 | James Messersmith | Orthopaedic Surgery | 3609 Watkins Rd, Durham, NC 27707-3355 | 2006-10-25 |
| 1548357064 | Robert D Zura | Orthopaedic Surgery | Dumc 3205, Durham, NC 27710-0001 | 2006-10-06 |
| 1740371012 | Richard D. Goldner | Orthopaedic Surgery | 3480 Duke Medical Ctr, Durham, NC 27710-0001 | 2006-09-28 |
| 1225077415 | Kyle E Black | Orthopaedic Surgery | 5616 Denwood Ln, Durham, NC 27705-9252 | 2006-06-05 |
| 1962463125 | Thomas Craig Derian | Orthopaedic Surgery | 4206 N Roxboro Street, Suite 120, Durham, NC 27704-1868 | 2006-03-29 |
| 1447226402 | Russell R. Zelko | Orthopaedic Surgery | 4220 Apex Hwy, Suite 200, Durham, NC 27713 | 2006-02-28 |
| Find all providers in DURHAM | ||||
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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.