DOUGLAS JOHN KELLEY


Address: 5450 Fort St, Trenton, MI 48183-4601
Phone: 7346713297

DOUGLAS JOHN KELLEY (NPI# 1306108428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306108428
Entity Type Individual
Full Name DOUGLAS JOHN KELLEY
Credential D.O.
Practice Address 5450 Fort St
Trenton
MI 48183-4601
Mailing Address 3872 Longmeadow Dr
Trenton
MI 48183-3912
Practice Telephone 7346713297
Mailing Telephone 7348187673
Enumeration Date 2012-06-14
Last Update Date 2015-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 5101020104 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 5101020104 MI Student, Health Care

Other Providers DOUGLAS KELLEY

NPI Name Taxonomy Address Enumeration
1033376090 Douglas Edward Kelley Optometrist 540 E Grand Ave, Beloit, WI 53511-6314 2008-05-19
1285654509 Douglas M Kelley Anesthesiology 3508 22nd Pl, Lubbock, TX 79410-1316 2006-07-20
1962498345 Douglas James Kelley Optometrist 308 S New York Rd Unit D, Galloway, NJ 08205-9650 2005-09-21
1427303189 Douglas Farrell Kelley Physical Therapist 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 2012-07-18

Office Location

Street Address 5450 FORT ST
City TRENTON
State MI
Zip Code 48183-4601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354524 Craig Eugene Dunn Nurse Anesthetist, Certified Registered 5450 Fort St, Trenton, MI 48183-4601 2005-05-23
1053937995 Ian Zachary Lewis Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-06-16
1467077644 Ramsha Samra Podiatrist 5450 Fort St, Trenton, MI 48183-4601 2020-06-12
1154946549 Stefan Nicholas Papandreou Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-06-11
1720602378 Cathryn Ann Rudawsky Surgery 5450 Fort St, Trenton, MI 48183-4601 2020-05-29
1790308559 Saad Habib Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-05-27
1740803154 Hasan Aoun Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-20
1770105066 Hunter L Hays Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-11
1841812203 Manjot Sodhi Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-08
1104447671 Paige E Spagna Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043869324 Tonya Saint Onge Physical Therapy Assistant Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 2019-09-09
1326568635 Samantha Nicole Steffen Behavior Technician 3244 Concord, Trenton, MI 48183 2017-06-27
1225567688 Nicholas Michael Abdallah Dentist 21080 Allen Road, Woodhaven, MI 48183 2017-06-08
1265823041 Sherry A Dees Lmsw Acsw LLC Counselor 23933 Allen Road, Suite 3, Woodhaven, MI 48183 2015-02-14
1720480825 Marlo Brazier Technician, Other 226000 West Rd, Apt 108, Trenton, MI 48183 2014-09-19
1679902597 Henry Ford Wyandotte Hospital Dietitian, Registered 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 2013-11-02
1548605116 Kay Vonne Cason Psy Pllc Psychologist 19366 Allen Rd Ste. D, Brownstown, MI 48183 2013-05-08
1891031118 Mazin K Dds PC Dentist 22319 King Rd, Woodhaven, MI 48183 2012-12-13
1114241585 John Shafer Psychologist 1660 Fort St, Trenton, MI 48183 2010-03-15
1982871026 Anthony G Gray Physical Therapist 20059 King Road, Woodhaven, MI 48183 2008-05-08
Find all providers in zip 48183

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760685713 Branden Christodoulos Emergency Medicine Oakwood Southshore Medical Center, 5450 Fort Street, Trenton, MI 48183 2007-06-07
1932128766 Patricia B Meisner Emergency Medicine 466 Bellevue Ave., Capital Health System Mercer Campus, Trenton, NJ 08618-4502 2006-07-19
1417982588 Jeffrey Couturier Emergency Medicine 5450 Fort Street, Emergency Medicine Department, Trenton, MI 48183-4601 2006-07-11
1669409306 Mark P. Krivoshik Emergency Medicine 601 Hamilton Avenue, Trenton, NJ 08629-0000 2006-06-27
1629024526 Guillermo Garcia Emergency Medicine Helene Fuld Medical Center (emergency Department), 750 Brunswick Avenue, Trenton, NJ 08638 2006-05-25
1851915649 Matthew M Rydlewski Jr. Emergency Medicine 750 Brunswick Ave, Trenton, NJ 08638-4143 2020-06-08
1992326250 Stephen Mckinney Emergency Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-04-28
1073134409 Bruce Richard Bosman Emergency Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-04-27
1265052096 Ahmad Ali Al-jamal Emergency Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-04-22
1134749997 Ali Belal Abdallah Emergency Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-04-22
Find all providers in TRENTON

Competitor

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City TRENTON
Zip Code 48183

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Dataset Information

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.

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