MICHAEL J KELLY (NPI# 1124102546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124102546 |
| Entity Type | Individual |
| Full Name | MICHAEL J KELLY |
| Credential | M.D. |
| Practice Address |
16 Conklin St Salisbury CT 06068-1823 |
| Mailing Address |
Po Box 585 Salisbury CT 06068-0585 |
| Practice Telephone | 8604353551 |
| Practice Fax Number | 8604353561 |
| Mailing Telephone | 8604353551 |
| Mailing Fax Number | 8604353561 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 041727 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001417270 | 05 | |
| NPI GROUP NUMBER | 1376703751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
16 CONKLIN ST |
| City | SALISBURY |
| State | CT |
| Zip Code | 06068-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424761 | Leonard Pratt | Physical Therapist | 17 Cobble Road, Salisbury, CT 06068 | 2020-10-15 |
| 1740327865 | Nw Medical Massage, Inc. | Massage Therapist | 15 Academy Street, Salisbury, CT 06068 | 2007-01-30 |
| 1528578895 | Daprile Rx, LLC | Pharmacy | 20 Main Street, Salisbury, CT 06068 | 2017-10-02 |
| 1942437702 | David Alton Miller | Acupuncturist | 15 Academy Street, 2, Salisbury, CT 06068 | 2009-06-18 |
| 1649305848 | Dori Corrado Gay | Counselor | 38 Bunker Hill Rd, Salisbury, CT 06068-1000 | 2007-02-21 |
| 1104812841 | Andrew Eric Schwartz | Podiatrist | 8 Mount Riga Rd, Salisbury, CT 06068-1003 | 2005-09-27 |
| 1710044201 | Francis R.j. Porter | Emergency Medicine | 20 Rustic Ln, Salisbury, CT 06068-1316 | 2007-01-03 |
| 1487648614 | Church Homes, Inc. Congregational | Nursing Facility/Intermediate Care Facility | 17 Cobble Rd, Salisbury, CT 06068-1501 | 2005-09-02 |
| 1386245900 | Angelia S Greene | Physical Medicine & Rehabilitation | 17 Cobble Rd, Salisbury, CT 06068-1501 | 2020-11-02 |
| 1649870585 | Melissa Adriana Morgan | Occupational Therapy Assistant | 17 Cobble Rd, Salisbury, CT 06068-1501 | 2020-10-29 |
| Find all providers in zip 06068 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427305598 | Geeti Dhillon | Internal Medicine | 560 Riverside Dr Ste A106, Salisbury, MD 21801-4702 | 2012-08-08 |
| 1356667505 | Kobina Arhin Wilmot | Internal Medicine | 911 W Henderson St Ste 230, Salisbury, NC 28144-2700 | 2010-04-13 |
| 1659605202 | Allen Wayne Tustin | Internal Medicine | 5342 Sharps Point Rd, Salisbury, MD 21801-9600 | 2009-09-30 |
| 1760613897 | James Leo Clifford | Internal Medicine | 5289 Silver Run Lane, Salisbury, MD 21801 | 2009-08-06 |
| 1073750865 | Katerina Bozhikova Todorov | Internal Medicine | 1665 Woodbrooke Drive, Salisbury, MD 21804 | 2009-01-15 |
| 1285887323 | Frank T. Shafer | Internal Medicine | 104 Circle Dr, Salisbury, NC 28144-3310 | 2008-11-03 |
| 1518173905 | J N Holmes Md and Associates General Internal Medicine Pllc | Internal Medicine | 102 Mocksville Ave, Salisbury, NC 28144-3345 | 2007-05-15 |
| 1407977309 | Gavin C. Little, D.o., LLC | Internal Medicine | 46 Toll Rd Ste C, Salisbury, MA 01952-1435 | 2007-04-02 |
| 1215075890 | Eastern Shore Medical Center Pa | Internal Medicine | 914a Eastern Shore Dr, Salisbury, MD 21804-6410 | 2007-02-03 |
| 1508912239 | Helen M Baldado | Internal Medicine | 547 Riverside Drive, Suite F, Salisbury, MD 21801 | 2007-01-26 |
| Find all providers in SALISBURY | ||||
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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.