ERIN TERESA KELLY (NPI# 1245529460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245529460 |
| Entity Type | Individual |
| Full Name | ERIN TERESA KELLY |
| Credential | MD |
| Practice Address |
4400 Haverford Ave Philadelphia PA 19104-1361 |
| Practice Telephone | 2156857600 |
| Practice Fax Number | 2156857379 |
| Mailing Telephone | 2156857600 |
| Mailing Fax Number | 2156857379 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2015-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 267758-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD454541 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 267758-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD454541 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505884 | Erin Elizabeth Kelly | Occupational Therapist | 88 Cherry St, Floral Park, NY 11001-3342 | 2019-08-29 |
| 1548728140 | Erin Marie Kelly | Counselor | 12630 Ann St, Blue Island, IL 60406-1704 | 2019-03-04 |
| 1962976936 | Erin Kelly | Physical Therapist | 718 N Main St Unit 18, Gunnison, CO 81230-2412 | 2019-01-14 |
| 1215416409 | Erin Kelly | Occupational Therapist | 1887 Barthgate Ave, Bronx, NY 10457 | 2018-08-09 |
| 1285147421 | Erin E Kelly | Social Worker | 311 S Craig St Ste 300, Pittsburgh, PA 15213-3731 | 2017-11-09 |
| 1568974871 | Erin Kelly | Speech-Language Pathologist | 875 Poplar Church Rd Ste 320, Camp Hill, PA 17011-2203 | 2017-10-26 |
| 1790238566 | Erin Kelly | Dietitian, Registered | 4580 Lincklaen Rd, Cazenovia, NY 13035-9756 | 2016-07-28 |
| 1154733525 | Erin Kelly | Case Manager/Care Coordinator | 1150 S Olive St, Los Angeles, CA 90015-2211 | 2014-05-20 |
| 1780028464 | Erin Shigeko Kelly | General Practice | 2708 Greenfield Ave, Los Angeles, CA 90064-4032 | 2013-04-24 |
| 1619218997 | Erin Kelly | Counselor | 4440 Beard Ave S Apt 308, Minneapolis, MN 55410-1465 | 2013-03-11 |
| Street Address |
4400 HAVERFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649219445 | Janet Romano | Obstetrics & Gynecology | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-06-06 |
| 1124635818 | Andrea Silver | Nurse Practitioner | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2020-09-26 |
| 1407268980 | Zarna Shah | Family Medicine | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2014-06-02 |
| 1093021305 | Matthew John Miller | Dentist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2010-08-24 |
| 1881817948 | Rashaan J Locke | Pharmacy Technician | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2007-04-10 |
| 1912032889 | E. Michele Thompson | Nurse Practitioner | 4400 Haverford Ave, Health Center #4, Philadelphia, PA 19104-1361 | 2007-02-22 |
| 1467551309 | Linda M Burnett | Pharmacy Technician | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-21 |
| 1467557066 | Christiana Fatiregun | Pharmacist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-14 |
| 1992800528 | In Sub Han | Pharmacist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-14 |
| 1144337189 | City of Philadelphia | Clinic/Center | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| 1215564521 | Insight Home Physicians, PC | Internal Medicine | 7806 Cresheim Rd, Philadelphia, PA 19118-4003 | 2020-03-25 |
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1700439056 | Alvaro Goncalves Mendes Neto | Internal Medicine | 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 | 2019-07-16 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1114587672 | Stephen Michael Pokrywa | Internal Medicine | Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.