PAUL BRENDAN KELLY (NPI# 1134307234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134307234 |
Entity Type | Individual |
Full Name | PAUL BRENDAN KELLY |
Credential | MD |
Practice Address |
4600 Broadway # 1100 Sacramento CA 95820-1527 |
Practice Telephone | 9162153402 |
Practice Fax Number | 9169663100 |
Mailing Telephone | 9162153402 |
Mailing Fax Number | 9169663100 |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | G7756 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417366105 | Paul Kelly | Counselor | 1 Railroad Ave, Closter, NJ 07624-1240 | 2014-08-06 |
1457782658 | Paul Kelly | Counselor | 481 8th Avenue, Suite 520, New York Pathways, New York, NY 10001 | 2013-12-13 |
1164790960 | Paul A Kelly Sr. | Counselor | 3071 South Donouvan Street, Wasilla, AK 99654 | 2011-12-07 |
1609071836 | Paul D. Kelly | Chiropractor | 932 N Mitchell St, Suite 6, Cadillac, MI 49601-1285 | 2007-06-18 |
1316079924 | Paul Owen Kelly | Internal Medicine | 4713 State Rd, Drexel Hill, PA 19026-4727 | 2007-03-09 |
1629112685 | Paul Anthony Kelly | Acupuncturist | 152 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-02-16 |
1831253533 | Paul Colin Kelly | Physical Therapist | 113 E 23rd St, New York, NY 10010-4507 | 2006-12-20 |
1841352895 | Paul Edward Kelly | Counselor | 3698 Seabass Rd, Decatur, GA 30034-6954 | 2006-12-15 |
1538230255 | Paul David Kelly | Pharmacist | 270 Lafayette Rd, Seabrook, NH 03874-4542 | 2006-11-13 |
1548297930 | Paul F Kelly | Internal Medicine | 56 Franklin St., 3rd Floor, Waterbury, CT 06706-1253 | 2006-06-28 |
Street Address |
4600 BROADWAY # 1100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95820-1527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528256906 | Martha Lorena Mejia | Nurse's Aide | 4600 Broadway # 1100, Sacramento, CA 95820-1527 | 2007-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
Find all providers in zip 95820 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386118404 | Shirley Domingo, M.d., Inc. | Surgery | 3939 J St Ste 305, Sacramento, CA 95819-3639 | 2019-01-11 |
1205366101 | Medamerica Physician Solutions Inc | Surgery | 3000 L St Ste 200, Sacramento, CA 95816-5248 | 2017-06-14 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
1164976585 | Rana Khan | Surgery | 8120 Timberlake Way Ste 212, Sacramento, CA 95823 | 2016-08-15 |
1821449430 | Jason A Park Md A Profesional Medical Corporation | Surgery | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2016-06-24 |
1295115616 | Marissa Mendez | Surgery | 2335 Stockton Boulevard, Naob -5th Floor, Sacramento, CA 95817 | 2015-06-01 |
1669815940 | Shushmita Mehjabin Ahmed | Surgery | 2335 Stockton Blvd Naob 6th Floor, Sacramento, CA 95817-1418 | 2013-04-16 |
1588921795 | Claire E Graves | Surgery | 4501 X Street, Suite 3010, Sacramento, CA 95817-1418 | 2012-04-13 |
1164797684 | Luis Armando Godoy | Surgery | 2335 Stockton Blvd., Naob Suite 6120, Sacramento, CA 95817-2200 | 2012-03-16 |
1649560632 | Victoria Lyo | Surgery | 2315 Stockton Blvd. Department of Surgery, Naob Suite 6113, Sacramento, CA 95817-2201 | 2011-04-12 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95820 |
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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.