DR. DAVID R KELLY (NPI# 1124013727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013727 |
| Entity Type | Individual |
| Full Name | DR. DAVID R KELLY |
| Credential | M.D. |
| Practice Address |
11 Murray St North Country Imaging Center Glens Falls NY 12801-4311 |
| Mailing Address |
Po Box 985 Glens Falls NY 12801-0985 |
| Practice Telephone | 5187931000 |
| Practice Fax Number | 5187933125 |
| Mailing Telephone | 5187931000 |
| Mailing Fax Number | 5187933125 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
169910 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01022260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264760 | David Arnold Kelly | Student in an Organized Health Care Education/Training Program | 417 Ne 1st Ter, Oklahoma City, OK 73104-4056 | 2020-04-25 |
| 1558714238 | David Kelly | Nurse Practitioner | 101 Fornum Dr, Grovetown, GA 30813-2697 | 2016-07-19 |
| 1053727040 | David Adam Kelly | Pharmacist | 1401 S Quintard Ave, Anniston, AL 36201-8248 | 2014-07-10 |
| 1821259722 | David Alexander Kelly | Plastic Surgery | 14275 N 87th St Ste 110, Scottsdale, AZ 85260-3696 | 2008-06-23 |
| 1104014299 | David Charles Kelly Jr. | Radiologic Technologist | 8915 Cherry St, Blue Ash, OH 45242-7846 | 2007-10-15 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1902969843 | David P Kelly | Dentist | 3275 W Ina Rd Ste 101, Tucson, AZ 85741-2152 | 2006-12-19 |
| 1124048491 | David Randolph Kelly | Dentist | 1941 Euclid Ave, Bristol, VA 24201-3607 | 2006-07-20 |
| 1154348753 | David C Kelly | Physician Assistant | Ben Hogan Center, 800 5th Ave., Suite 410, Fort Worth, TX 76104 | 2006-07-17 |
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| Street Address |
11 MURRAY ST NORTH COUNTRY IMAGING CENTER |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215997 | Richard N Dimick | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| 1609138825 | Adirondack Radiology Associates, PC | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2012-06-13 |
| 1578856662 | Brian John Manfredi | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2011-05-23 |
| 1770874265 | Michael Wolf | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2011-05-02 |
| 1255596516 | Geoffrey Christopher Hill | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2008-07-25 |
| 1427240126 | David Matthew Dolinsky | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2007-08-16 |
| 1427096601 | Suzanne Marie Brundage | Physician Assistant | 11 Murray St, Glens Falls, NY 12801-4311 | 2006-06-02 |
| 1285625244 | Sunjay Verma | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2005-10-31 |
| 1962497560 | Daniel B Burke | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-20 |
| 1821083577 | Thomas A Quaresima | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851386403 | Karen D Ernst | Radiology | North Country Imaging Center, 11 Murray St, Glens Falls, NY 12801 | 2005-09-20 |
| 1144215997 | Richard N Dimick | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| 1578856662 | Brian John Manfredi | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2011-05-23 |
| 1770874265 | Michael Wolf | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2011-05-02 |
| 1255596516 | Geoffrey Christopher Hill | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2008-07-25 |
| 1427240126 | David Matthew Dolinsky | Radiology | 11 Murray St, Glens Falls, NY 12801-4311 | 2007-08-16 |
| 1962497560 | Daniel B Burke | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-20 |
| 1821083577 | Thomas A Quaresima | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| 1649265398 | Daniel J Sablich | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| 1558356204 | Aaron J Antiles | Radiology | 11 Murray St, North Country Imaging Center, Glens Falls, NY 12801-4311 | 2005-09-19 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
Please comment or provide details below to improve the information on DR. DAVID R 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.