DR. ADRIENNE MARGARET KELLY (NPI# 1205189669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189669 |
| Entity Type | Individual |
| Full Name | DR. ADRIENNE MARGARET KELLY |
| Credential | MD |
| Practice Address |
2147 Professional Dr Gaylord MI 49735-0003 |
| Mailing Address |
829 N Center Ave Suite 298 Gaylord MI 49735-1595 |
| Practice Telephone | 9897321753 |
| Practice Fax Number | 9897311425 |
| Mailing Telephone | 9897317708 |
| Mailing Fax Number | 9897317929 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
4301101907 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
4301101907 | MI | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
4301101907 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | OF96004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634199 | Adrienne Laquinn Kelly | Nurse Practitioner | 3281 Old Salem Rd Se, Conyers, GA 30013-2257 | 2019-08-12 |
| 1942244975 | Adrienne J. Kelly | Social Worker | 629 Standish Rd, Teaneck, NJ 07666-1817 | 2006-06-16 |
| 1861008369 | Adrienne Kelly | Specialist | 300 Garden City Plz, Garden City, NY 11530-3302 | 2020-09-20 |
| 1730237710 | Adrienne M. Kelly | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| Street Address |
2147 PROFESSIONAL DR |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867490 | Gilbert Alan Noirot | Orthopaedic Surgery | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2005-08-02 |
| 1689176224 | Brittany Janel Beyers | Physical Therapist | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2018-02-28 |
| 1346496759 | Kellie Lea Mumford | Physician Assistant | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2008-08-18 |
| 1881811891 | Niki L Diehl | Physical Therapist | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2007-04-19 |
| 1003823246 | Patrick Allan Cosgrove | Physical Therapist | 2147 Professional Dr, Suite 2, Gaylord, MI 49735 | 2006-08-01 |
| 1821038217 | Shannon C Gabel Dorr | Physician Assistant | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2006-06-07 |
| 1427033976 | Louis S Habryl | Orthopaedic Surgery | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2005-12-07 |
| 1750366217 | N'orthopedics PC | Orthopaedic Surgery | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2005-12-07 |
| 1770568248 | Shelly R Slivinski | Physician Assistant | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2005-12-07 |
| 1548245095 | Robert L Halter | Orthopaedic Surgery | 2147 Professional Dr, Gaylord, MI 49735-0003 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650391 | Accuspine Pllc | Orthopaedic Surgery | 612 Park St, Birmingham, MI 48009-3424 | 2013-11-24 |
| 1669809612 | Michigan Orthopaedic Spine Surgeons PC | Orthopaedic Surgery | 29624 Woodward Ave, Royal Oak, MI 48073-0905 | 2013-10-07 |
| 1376808105 | Lucent Spine, Pllc | Orthopaedic Surgery | 2300 Haggerty Rd Ste 2100, West Bloomfield, MI 48323-2191 | 2012-07-09 |
| 1033143052 | Jeffrey K. Wingate, M.d. | Orthopaedic Surgery | 13355 East Ten Mile Road, Medical Office Building East Ste. 115, Warren, MI 48089 | 2006-07-10 |
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235117524 | Jeffrey K Wingate | Orthopaedic Surgery | 555 Barclay Cir Ste 140, Rochester Hills, MI 48307-4587 | 2006-01-06 |
| 1801870266 | Edgar Neil Pasia | Orthopaedic Surgery | 940 River Centre Dr., Port Huron, MI 48060 | 2005-11-30 |
| 1194713669 | Kenneth J Easton | Orthopaedic Surgery | 1111 Leffingwell Ne, Ste 100, Grand Rapids, MI 49525 | 2005-10-10 |
| 1669465761 | John Ernest Lamacchia | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2005-08-24 |
| 1104458181 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-07 |
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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.