DR. JUSTIN KELLEY (NPI# 1205256187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205256187 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KELLEY |
| Credential | D.O. |
| Practice Address |
1401 Bone Creek Dr Sandusky OH 44870-7267 |
| Mailing Address |
628 Spivey Camp Rd Kinston AL 36453-7030 |
| Practice Telephone | 4196254900 |
| Practice Fax Number | 4196279768 |
| Mailing Telephone | 3343999555 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34.014089 | OH | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
34.014089 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0381932 | 05 | |
| OH | LICENSE | 34.014089 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386919892 | Justin Arthur Kelley | Physical Therapy Assistant | 7264 Friedrich Rd, Rogers City, MI 49779-9534 | 2012-03-16 |
| 1467941187 | Justin Tyler Kelley | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-08 |
| 1831498302 | Justin Patrick Kelley | Nurse Anesthetist, Certified Registered | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2011-03-22 |
| 1902039514 | Justin Patrick Kelley | Physician Assistant | 2102 Baptiste Dr, Suite # E, Paola, KS 66071-1314 | 2009-08-30 |
| Street Address |
1401 BONE CREEK DR |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-7267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887797 | Brian W Hall | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2005-11-08 |
| 1659754133 | Cody Stephen Crockett | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2015-07-02 |
| 1346534328 | Thomas Patrick Felter | Anesthesiology | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2011-06-07 |
| 1972815454 | Elizabeth A Mason | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2010-07-13 |
| 1144532631 | Jaime L Bentley | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2010-07-13 |
| 1477787596 | Colleen Ruth Calvey | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2009-05-04 |
| 1801086533 | Beverly J Weyer | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2007-07-30 |
| 1164612362 | Brian D Roberts | Specialist/Technologist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2007-07-25 |
| 1033238860 | Nicholas D Reimer | Physical Therapist | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2007-03-29 |
| 1134172992 | Sandusky Orthopedic Surgeons Inc | Internal Medicine | 1401 Bone Creek Dr, Sandusky, OH 44870 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922168863 | Alfredo Canlas Domingo | Orthopaedic Surgery | 74 S Elk St, Sandusky, MI 48471-1354 | 2006-12-11 |
| 1891760286 | James Richard Kosiur | Orthopaedic Surgery | 100 W. Argyle Street, Sanilac Medical Plaza, Sandusky, MI 48471 | 2006-02-21 |
| 1477787596 | Colleen Ruth Calvey | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2009-05-04 |
| 1063571511 | Thomas Bilko | Orthopaedic Surgery | 120 N Delaware St, Sandusky, MI 48471-1009 | 2006-12-08 |
| 1528049376 | Kam M Wong | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2005-11-09 |
| 1144201088 | Thomas A Olexa | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870 | 2005-11-08 |
| 1831170778 | James R Berry | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2005-11-08 |
| 1629059597 | Michael J Felter | Orthopaedic Surgery | 1401 Bone Creek Dr, Sandusky, OH 44870-7267 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966327 | Crystal Clinic, Inc. | Orthopaedic Surgery | 2383 S Main St Ste D106, Coventry Township, OH 44319-1190 | 2020-09-09 |
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1659851921 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 32800 Lorain Rd # 1100, N Ridgeville, OH 44039-3430 | 2018-08-16 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1609387984 | Orthopedic Associates of S W Ohio Inc | Orthopaedic Surgery | 3535 Pentagon Blvd Ste 300, Beavercreek, OH 45431-1705 | 2017-10-13 |
| 1689183683 | Orthopedic Associates of S W Ohio, Inc. | Orthopaedic Surgery | 7117 Dutchland Pkwy, Liberty Township, OH 45044-9096 | 2017-09-22 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1306382262 | Zanesville Xpress Ortho Care, LLC | Orthopaedic Surgery | 3089 Maple Ave, Zanesville, OH 43701-1408 | 2017-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JUSTIN KELLEY.
| 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.