DR. MATTHEW R KELLEY (NPI# 1205166642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166642 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R KELLEY |
| Credential | AUD |
| Practice Address |
100 Wason Suite 100 Springfield MA 01107 |
| Mailing Address |
100 Wason Avenue Suite 100 Springfield MA 01107 |
| Practice Telephone | 4137327426 |
| Practice Fax Number | 4137342371 |
| Mailing Telephone | 4137327426 |
| Mailing Fax Number | 4137342371 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2016-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687589 | Matthew Dean Kelley | Social Worker | 900 W Broadway St Bldg 7, Newton, KS 67114-2010 | 2017-06-01 |
| 1952594947 | Matthew Patrick Kelley | Dentist | 21909 64th Ave W, Mountlake Terrace, WA 98043-2278 | 2007-08-22 |
| 1649777905 | Matthew Kelley | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2018-04-12 |
| 1801319074 | Matthew Harrison Kelley | Physical Therapist | 5001 Rockside Rd # In10, Independence, OH 44131-2172 | 2017-07-19 |
| 1417376476 | Matthew Kelley | Surgery | 201 E University Pkwy, Dept of Surgery, Baltimore, MD 21218-2829 | 2014-04-07 |
| 1548507411 | Matthew Tyler Kelley | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2013-01-11 |
| 1508124827 | Matthew Kelley | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| 1124258918 | Matthew Brian Kelley | Counselor | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 | 2009-07-15 |
| 1790923696 | Matthew Kelley | Physical Therapy Assistant | 101 Uhland Rd, Suite 112, San Marcos, TX 78666-6630 | 2009-01-30 |
| Street Address |
100 WASON SUITE 100 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1811125164 | Kevin J. Crenshaw | Technician/Technologist | 45 Athol St, Springfield, MA 01107 | 2009-06-25 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1326569609 | Decia Ann Demaio | Audiologist | 175 Carew St Ste 150, Springfield, MA 01104-2391 | 2017-06-27 |
| 1497197479 | Lindsay B Hobbs | Audiologist | 4145 S National Ave, Springfield, MO 65807-5356 | 2013-07-19 |
| 1508173790 | Liliana Cabrera Piccinini | Audiologist | 760 W Sproul Rd Ste 103, Springfield, PA 19064-4003 | 2010-09-09 |
| 1912212226 | Paloma M Robinson | Audiologist | 8314-c Traford Lane, Springfield, VA 22152 | 2010-08-11 |
| 1003011743 | Marta Kay Fraker | Audiologist | 3250 E Battlefield St Ste N, Springfield, MO 65804-4081 | 2007-06-20 |
| 1275736332 | Nancy J Urcuioli | Audiologist | 100 Wason Ave Ste 100, Springfield, MA 01107-1179 | 2007-06-07 |
| 1790817021 | Hdn Sheppard Acquisition Inc. | Audiologist | 1905 W North St, Springfield, OH 45504-2956 | 2007-03-12 |
| 1215076070 | Jaime R Lanois | Audiologist | 1229 E Seminole St Ste 530, Springfield, MO 65804-2227 | 2007-02-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.