DR. NATHAN ROSS KELSEY (NPI# 1184943789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184943789 |
| Entity Type | Individual |
| Full Name | DR. NATHAN ROSS KELSEY |
| Credential | M.D. |
| Practice Address |
60mdg/sgqx 101 Bodin Cir Travis Afb CA 94535-1800 |
| Practice Telephone | 7074233000 |
| Mailing Telephone | 7074233000 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101250278 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
60MDG/SGQX 101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598837569 | Clayton Chen | Radiology | 60mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851703334 | James Gullo | Radiology | 60 Mdg/sgqx, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2014-06-02 |
| 1104005172 | James Odone | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-10-26 |
| 1124214374 | Lance Dustin Edmonds | Radiology | 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535-1809 | 2007-09-21 |
| 1528110095 | Stephen Bepko | Radiology | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2007-01-17 |
| 1053489922 | Zoltan A. Varro | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-12-01 |
| 1457307993 | Luke Benjamin Simonet | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-05-26 |
| 1306896261 | Adrianne Kamara Thompson | Radiology | 101 Bodin Cir, 60 Mdts/sgqx, Travis Afb, CA 94535-1809 | 2006-05-11 |
| 1568412518 | Michael Allan Tall | Radiology | 101 Bodin Cir, 60 Mdts/sgqx, Travis Afb, CA 94535-1809 | 2006-05-11 |
| 1003881830 | Teddy Jinnteh Su | Radiology | 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535-1809 | 2006-02-23 |
| 1104806397 | Theodore Joseph Jerdee | Radiology | 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535-1809 | 2006-01-23 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on DR. NATHAN ROSS KELSEY.
| 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.