DR. SCOTT ANDREW KELLEY (NPI# 1144348970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144348970 |
Entity Type | Individual |
Full Name | DR. SCOTT ANDREW KELLEY |
Credential | MD |
Practice Address |
1801 Briarwood Circle Ann Arbor MI 48108-3347 |
Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
Practice Telephone | 7349987167 |
Mailing Telephone | 7346475299 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2019-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4301083571 | MI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301083571 | MI | Student, Health Care |
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 |
1114939212 | Scott Streater Kelley | Orthopaedic Surgery | 3609 Sw Durham Dr, Durham, NC 27707-6507 | 2006-08-13 |
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 |
1801 BRIARWOOD CIRCLE |
City | ANN ARBOR |
State | MI |
Zip Code | 48108-3347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700845724 | Robert Joseph Heizelman II | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2006-03-20 |
1932619798 | Marie Claire O'dwyer | Family Medicine | 1801 Briarwood Circle, Building 10, Ann Arbor, MI 48108-3347 | 2017-10-06 |
1942683735 | Leigh Mary Morrison | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2015-06-30 |
1881034957 | Jane Estelle Chargot | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2013-07-03 |
1821436726 | Cornelius Dijon Jamison | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2013-06-13 |
1326392499 | Caroline E Lembrick | Physician Assistant | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2012-10-29 |
1619231842 | Anna Rose Laurie | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2012-07-03 |
1568721538 | Razel Remen | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108 | 2012-05-11 |
1912298084 | Oluwaferanmi Oyedeji Okanlami | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2011-04-25 |
1881910628 | Juana Nicoll Capizzano | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108 | 2010-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
1730620386 | Rachel Denny | Family Medicine | 4260 Plymouth Rd # B1-313, Ann Arbor, MI 48109-2700 | 2017-03-15 |
1730546722 | Scott Waclawik | Family Medicine | 24 Frank Lloyd Wright Dr Ste L2300, Ann Arbor, MI 48105-9484 | 2016-01-21 |
1477940294 | Advance Primary Care | Family Medicine | 1000 E Stadium Blvd Ste E, Ann Arbor, MI 48104-4616 | 2015-04-20 |
1598179822 | Kristina L Bahrou | Family Medicine | 3830 Packard St Ste 230, Ann Arbor, MI 48108-2273 | 2014-06-14 |
1164862249 | Gregory David Shumer | Family Medicine | 24 Frank Lloyd Wright Dr Lbby H, Ann Arbor, MI 48105-9484 | 2013-07-03 |
1629321096 | Rachel Leah Sabb | Family Medicine | 1000 Markbarry Dr, Ann Arbor, MI 48105-2869 | 2012-10-22 |
1336401124 | Sukhpreet Kaur Singh | Family Medicine | 2755 Carpenter Rd Ste 1s, Ann Arbor, MI 48108-1171 | 2012-06-08 |
1194002824 | Superior Physician Services Pllc | Family Medicine | 315 E Eisenhower Pkwy Ste 7, Ann Arbor, MI 48108-3329 | 2011-11-09 |
1629380530 | Lindsey V. Kotagal | Family Medicine | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2010-07-08 |
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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.