DR. JOHN JOSEPH KELLY (NPI# 1295726628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295726628 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH KELLY |
| Credential | M.D. |
| Practice Address |
115 S Evans St Tecumseh MI 49286-1949 |
| Practice Telephone | 5174239300 |
| Practice Fax Number | 5174239400 |
| Mailing Telephone | 5174239300 |
| Mailing Fax Number | 5174239400 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301057968 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 4301057968 | 01 |
| MI | BCBS | 0804610981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
115 S EVANS ST |
| City | TECUMSEH |
| State | MI |
| Zip Code | 49286-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623739 | Charlotte Christina Rozich | Massage Therapist | 115 S Evans St, Tecumseh, MI 49286-1949 | 2019-11-13 |
| 1265623748 | John Kelly, Md, Pllc | Family Medicine | 115 S Evans St, Tecumseh, MI 49286-1949 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649706276 | Shivaay 1 Pllc | Pharmacy | 6869 S Occidental Highway, Tecumseh, MI 49286 | 2017-05-02 |
| 1386073658 | Leslie Ann Kovalski | Counselor | 2698 Burwyn Hills Drive, Tecumseh, MI 49286 | 2013-11-06 |
| 1629347364 | Carol A. Drayton | Social Worker | 308 South Maumee, Tecumseh, MI 49286 | 2011-12-27 |
| 1487931812 | Luann M Hurd | Counselor | 808 E. Chicago Blvd., Suite 14, Tecumseh, MI 49286 | 2011-11-14 |
| 1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
| 1932331386 | Heidi Cunningham Herman | Social Worker | 2558 Dinius Rd, Tecumseh, MI 49286 | 2009-08-19 |
| 1417105560 | Nancy Grace Hornsby | Pharmacist | 2655 W. Chicago Blvd, Tecumseh, MI 49286 | 2008-09-03 |
| 1487822524 | James A Hinesly | Dentist | 126 Herrick Park Dr, Tecumseh, MI 49286 | 2008-02-12 |
| 1548442676 | Tecumseh Chiropractic Center, Incorporated | Chiropractor | 402 East Chicago Blvd., Tecumseh, MI 49286 | 2007-11-30 |
| 1740470509 | Todd Eduard Vonhofe | Chiropractor | 120 North Evans St., Tecumseh, MI 49286 | 2007-07-27 |
| Find all providers in zip 49286 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497069298 | Deyzi E Owens | Family Medicine | 13126 Tecumseh Rd E, Ste 2, Tecumseh, ON N8N3T6 | 2010-08-04 |
| 1215081500 | Jeffrey A, Stickney,d.o. P C | Family Medicine | 5449 S Occidental Rd, Tecumseh, MI 49286-9782 | 2007-01-23 |
| 1730255357 | Kristen J Bracklein | Family Medicine | 900 Blood Rd, Tecumseh, MI 49286-9575 | 2006-11-27 |
| 1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
| 1932123916 | Scott D Straka | Family Medicine | 509 Broadway St, Tecumseh, NE 68450-2306 | 2006-07-26 |
| 1134114754 | Stephen James Bachmeyer | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-09-20 |
| 1699774133 | Maria Adela A. Cordoba-naguit | Family Medicine | 502 E Cummins St, Tecumseh, MI 49286-2074 | 2005-07-18 |
| 1447253737 | Mark Edward Rigney | Family Medicine | 502 N Broadway St, Tecumseh, OK 74873-2018 | 2005-05-31 |
| 1376041343 | Shawnee Medical Center Clinic, Inc | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873-2200 | 2018-01-25 |
| 1306126206 | Health Specialists of Lenawee | Family Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2011-08-23 |
| Find all providers in TECUMSEH | ||||
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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.