DR. KELLEY DEBORAH HODGKISS-HARLOW


Address: 4647 Zion Ave, San Diego, CA 92120-2507
Phone: 6195285512

DR. KELLEY DEBORAH HODGKISS-HARLOW (NPI# 1164684056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164684056
Entity Type Individual
Full Name DR. KELLEY DEBORAH HODGKISS-HARLOW
Credential M.D.
Practice Address 4647 Zion Ave
San Diego
CA 92120-2507
Practice Telephone 6195285512
Mailing Telephone 6195285512
Enumeration Date 2008-07-01
Last Update Date 2016-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
A93677 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4647 ZION AVE
City SAN DIEGO
State CA
Zip Code 92120-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356332373 Jon Thomas Umlauf Family Medicine 4647 Zion Ave, San Diego, CA 92120 2005-10-31
1316586076 Michael Lam Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-12-29
1093358772 Kaily Walters Dietitian, Registered 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-24
1023650496 Michael Dean Perry Radiology 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-17
1912558297 Vishnavi Pailla Reddy Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-26
1124678016 Raymond Sami Totah Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-12
1225699416 Thao Phuong Nguyen Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-06-27
1790340073 Edwin Uribe Contreras Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1588229835 Anthony Jacob Sutton Mells Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1295399640 Richard William Comeaux Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
Find all providers in zip 92120

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265872873 Sasha Salloum, Md, Inc Surgery 1250 Cleveland Ave, Suite A209, San Diego, CA 92103-7300 2013-06-27
1194097873 David Roger James Surgery 577 Rosecrans St., San Diego, CA 92106-0000 2012-01-27
1316012339 Huntington Beach Surgery Surgery 12828 Baywind Pt, San Diego, CA 92130-2796 2006-11-22
1639173974 Bernard J Urlaub Surgery 5555 Reservoir Dr., Ste. 206, San Diego, CA 92120-5101 2005-06-01
1306369798 Mercy Vascular, A Professional Medical Corporation Surgery 550 Washington St Ste 641, San Diego, CA 92103-2229 2017-07-18
1659503316 Tazo Inui Surgery 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2009-08-13
1902051311 Bernard J. Urlaub, Md, Inc Surgery 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 2008-11-26
1770742264 Omar Al-nouri Surgery 200 W Arbor Dr, San Diego, CA 92103-9000 2008-06-09
1912055971 Timothy G. Canty Jr. Surgery 4647 Zion Ave, San Diego, CA 92120-2507 2007-01-08
1265591929 Robert F. Mc Ginn Surgery 4647 Zion Ave, San Diego, CA 92120-2507 2006-12-08
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.

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