DR. CATHERINE KELLY (NPI# 1174871255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174871255 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE KELLY |
| Credential | DO |
| Practice Address |
1000 Montauk Hwy West Islip NY 11795 |
| Mailing Address |
360 Maple Ave Box 119 Westbury NY 11590-7500 |
| Practice Telephone | 6313764444 |
| Mailing Telephone | 9142243884 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 279380 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285066084 | Catherine Anne Kelly | Counselor | 102 Sea View Dr, Warwick, RI 02889-9229 | 2013-08-02 |
| 1548399983 | Catherine B. Kelly | Marriage & Family Therapist | 63 Chester Hill Rd, Warwick, NY 10990-2555 | 2007-03-03 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1558923516 | Catherine Kelly | Speech-Language Pathologist | 2425 E 71st St, Chicago, IL 60649-2612 | 2019-06-30 |
| 1528550001 | Catherine Jane Kelly | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-05-31 |
| 1740791920 | Catherine Louise Kelly | Social Worker | 8130 Adams Dr, Hummelstown, PA 17036-8623 | 2017-10-16 |
| 1215455803 | Catherine Cailing Kelly | Marriage & Family Therapist | 1630 E Shaw Ave Ste 150, Fresno, CA 93710-8109 | 2017-09-02 |
| 1154844108 | Catherine Amanda Kelly | Nurse Practitioner | 11000 N Military Trl, Palm Beach Gardens, FL 33410-6504 | 2017-07-21 |
| 1326422999 | Catherine Kelly | Physical Therapist | 5690 Three Notch D Rd, Suite 107, Crozet, VA 22932-3172 | 2015-07-14 |
| 1609280833 | Catherine Grace Kelly | Nurse Practitioner | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2014-06-16 |
| Street Address |
1000 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225350 | Gabriel T Leonte | Internal Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2005-06-15 |
| 1316552342 | Britney A Lynch | Nurse Practitioner | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-09-15 |
| 1891300067 | Liam C Riddle | Genetic Counselor, MS | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-09-14 |
| 1811509144 | Manuela Restrepo | Nurse Practitioner | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-08-18 |
| 1518577196 | Christina Emily Rustscheff | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-08-07 |
| 1063037869 | Michele Ahlers | Nurse Practitioner | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-06-08 |
| 1275154866 | Anh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-05-05 |
| 1649891565 | Lauren Tassone | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-05-01 |
| 1306467592 | Allison Jane Regan | Nurse Practitioner | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-04-29 |
| 1518587476 | Christina Mary Johnson | Driver | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083199756 | Lucas Walker Lee | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2018-09-28 |
| 1154780500 | Daniel Herzog | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2016-02-13 |
| 1437566593 | Kathleen Sullivan | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2014-07-21 |
| 1972943850 | Joanna Marino | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2013-06-25 |
| 1154617165 | Omer Richman | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2011-06-28 |
| 1346536778 | Lyncean Ung | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2011-06-23 |
| 1528371689 | Heather Ann Hughes | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2010-07-19 |
| 1174835151 | Adam David Schwartz | Emergency Medicine | 1000 Montauk Hwy, Dept. of Medical Education, West Islip, NY 11795-4927 | 2010-07-07 |
| 1316259476 | Aleksandr Dubrovskiy | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2010-07-06 |
| 1548497282 | Jacob Allen Bair | Emergency Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2009-06-21 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
Please comment or provide details below to improve the information on DR. CATHERINE KELLY.
| 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.