THOMAS GERALD KELLY (NPI# 1134236623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134236623 |
| Entity Type | Individual |
| Full Name | THOMAS GERALD KELLY |
| Credential | M.D. |
| Practice Address |
550 Washington St Ste #300 San Diego CA 92103-2213 |
| Practice Telephone | 6192975437 |
| Practice Fax Number | 6192974567 |
| Mailing Telephone | 6192975437 |
| Mailing Fax Number | 6192974567 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A88790 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A887900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
550 WASHINGTON ST STE #300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841235645 | Mathew S Isho | Colon & Rectal Surgery | 550 Washington St, Suite 821, San Diego, CA 92103-2213 | 2006-06-17 |
| 1437444858 | Stephanie Elise Cone | Pediatrics | 550 Washington St, Suite 300, San Diego, CA 92103 | 2011-06-14 |
| 1356631972 | Pediatric Primary Care Associated Medical Group | Health Maintenance Organization | 550 Washington St, Ste 300, San Diego, CA 92103-2213 | 2011-04-15 |
| 1386968188 | Scripps Health | Preventive Medicine | 550 Washington St, Ste # 601, San Diego, CA 92103-2213 | 2010-03-23 |
| 1982876645 | Mathew Isho, M.d., P.C. | Surgery | 550 Washington St, Suite 821, San Diego, CA 92103-2213 | 2008-04-02 |
| 1346435625 | Bibiane Kim Tinio | Nurse Practitioner | 550 Washington St, Suite 601, San Diego, CA 92103-2213 | 2007-09-11 |
| 1164627832 | Nicole M Hibbs | Specialist | 550 Washington St, Ste 300, San Diego, CA 92103-2227 | 2007-06-20 |
| 1710190111 | Linda Marie Schwartz | Physician Assistant | 550 Washington St, San Diego, CA 92103-2213 | 2007-05-08 |
| 1215050521 | Marc Gehr M.d. | Internal Medicine | 550 Washington St, Suite 423, San Diego, CA 92103-2213 | 2007-04-10 |
| 1780719872 | Stephen H Carson | Specialist | 550 Washington St, Suite 300, San Diego, CA 92103-2213 | 2007-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376659995 | Sherry L. Franklin | Pediatrics | 7910 Frost St Ste 435, San Diego, CA 92123-2771 | 2006-08-23 |
| 1700945458 | Robert D. Clemons | Pediatrics | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| 1033280888 | Michael Everett Gottschalk | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1760553515 | Karen Oerter Klein | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1679644421 | Ron Samuel Newfield | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1588735336 | Susan Alexandra Phillips | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1235200098 | Jane Jinhee Kim | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1851341275 | Catherine M. Yates | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037915 | Sena Cantas Orsdemir | Pediatrics | 1 Med Plaza Dr, Irvine, CA 92697-1132 | 2011-09-10 |
| 1770720799 | John Shih-chang Ching | Pediatrics | 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 | 2009-01-13 |
| 1386890135 | Nicolas Leigh Cuttriss | Pediatrics | 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 | 2008-08-13 |
| 1306017421 | Audrey Denise Briscoe | Pediatrics | 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 | 2008-03-17 |
| 1255452025 | Nadia Shaheen Sattar | Pediatrics | 39650 Liberty St Ste 140, Fremont, CA 94538-2225 | 2007-04-02 |
| 1255471975 | Huong Quynh Nguyen | Pediatrics | 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 | 2007-02-08 |
| 1124041710 | Ramin R Mogadas | Pediatrics | 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 | 2006-07-25 |
| 1164442620 | Mario I. Brakin, M.d.,f.a.a.p., Inc | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2006-07-20 |
| 1730138009 | Jordan Pinsker | Pediatrics | 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 | 2006-05-06 |
| 1093795684 | Ajanta Naidu | Pediatrics | Uci Medical Center, 101 The City Drive, Pavillion 1, Orange, CA 92868 | 2006-01-19 |
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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.