ROY A KELLY JR. (NPI# 1306895941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306895941 |
| Entity Type | Individual |
| Full Name | ROY A KELLY JR. |
| Credential | M.D |
| Practice Address |
9001 Summa Avenue Baton Rouge LA 70809-3726 |
| Mailing Address |
1514 Jefferson Highway New Orleans LA 70121-2429 |
| Practice Telephone | 2257615259 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD.010587 | LA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 010587 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1336297 | 05 | |
| LA | RAILROAD MEDICARE | 340007213 | 01 |
| MS | 05877708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700897667 | Roy William Kelly Jr. | Dentist | 1725 S New Hope Rd, Gastonia, NC 28054-5850 | 2006-08-10 |
| 1356432413 | Roy William Kelly IIi | Dentist | 1725 S New Hope Rd, Gastonia, NC 28054-5850 | 2006-09-27 |
| Street Address |
9001 SUMMA AVENUE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760520 | Ronald David Menard | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-8210 | 2005-09-16 |
| 1073771416 | Erin Wheeler Derbigny | Physical Medicine & Rehabilitation | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-05-31 |
| 1487823951 | Shilpa Mainampati Reddy | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-28 |
| 1437327905 | Kodi Fay Crisp-coleman | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-18 |
| 1982882874 | Gregory Paul Gaspard | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-04 |
| 1891978177 | Lei Gao | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-12-10 |
| 1275723942 | Amy Gaudet Rabalais | Orthopaedic Surgery | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-07-30 |
| 1184828873 | Brian P. Jones | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809 | 2007-06-14 |
| 1073724365 | Alicia Castleberry Kober | Pediatrics | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-05-25 |
| 1326160094 | Melissa Bagwell Love | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376723304 | Redfield E Bryan Jr. | Urology | 2020 Rue Provence, Baton Rouge, LA 70806-8361 | 2007-11-07 |
| 1457386310 | Charlie Haywood Bridges | Urology | 7777 Hennessy Blvd., Ste. 608, Baton Rouge, LA 70808 | 2006-07-11 |
| 1700813722 | Richard Gipson Carter | Urology | 6323 Jefferson Hwy, Baton Rouge, LA 70806-8020 | 2006-06-26 |
| 1417308354 | Bridges Urology | Urology | 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808-4366 | 2016-06-22 |
| 1982996617 | Ross Cockrell | Urology | 7373 Perkins Rd, Baton Rouge, LA 70808 | 2011-05-13 |
| 1003129651 | Jason Peary Bridges | Urology | 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808-4366 | 2010-07-23 |
| 1497072508 | Spyrie D Mays Md Apmc | Urology | 3401 North Blvd, Ste 340, Baton Rouge, LA 70806-3743 | 2010-04-28 |
| 1508180530 | Wesley Ray Porta | Urology | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2010-03-19 |
| 1487844668 | James Dudley Atkinson Iv | Urology | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2007-07-25 |
| 1265633051 | Paul W Walker | Urology | 8080 Bluebonnet Blvd, Suite 3000, Baton Rouge, LA 70810-7827 | 2007-05-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.