DR. MICHAEL PAUL KELLY (NPI# 1336142942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336142942 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PAUL KELLY |
| Credential | PHARM.D. |
| Practice Address |
3750 Chemawa Rd Ne Salem OR 97305-1119 |
| Mailing Address |
1830 24th St Ne Salem OR 97301-8148 |
| Practice Telephone | 5033047600 |
| Mailing Telephone | 2062007079 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH00052198 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
3750 CHEMAWA RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962051516 | Diana Morrow | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1198 | 2019-09-06 |
| 1205316734 | Jessica Rae Hirsh Angle | Art Therapist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2018-08-15 |
| 1245783133 | Ashley-drake Estes | Counselor | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-07-27 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
| 1073967832 | Connie Lynne Rutledge | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305 | 2016-04-19 |
| 1124491923 | Laura Teresa Hunker | Social Worker | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-11-03 |
| 1396117511 | Western Oregon Service Unit | Clinic/Center | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-10-27 |
| 1912373523 | Tracy Nelson | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-08-18 |
| 1467835462 | Katie Ann Shaw | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-07-08 |
| 1093195125 | Sarah Hiller | Dental Hygienist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548371073 | Tracey Lynn Moore | Pharmacist | 5684 Moonstone Loop Se, Salem, OR 97306-3517 | 2006-08-31 |
| 1811369994 | Matthew Tanner | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2015-10-28 |
| 1114214806 | Emily Hall Agnew | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2011-07-01 |
| 1134358831 | Lindsay Paige Smith | Pharmacist | 1970 Roanoke Blvd # 119, Salem, VA 24153-6404 | 2009-07-02 |
| 1285809293 | Joseph Schnabel | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2008-04-30 |
| 1881781722 | John Robert Lester | Pharmacist | 3750 Chemawa Rd Ne, Salem, OR 97305-1111 | 2006-10-10 |
| 1861452674 | Martha Anne Mcdearmon | Pharmacist | 1970 Roanoke Blvd, Veterans Affairs Medical Center Salem (119), Salem, VA 24153-6404 | 2006-03-24 |
| 1396705513 | Mark Nathaniel Adams | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-03-23 |
| 1346209988 | Danny R. Huff | Pharmacist | 1970 Roanoke Blvd, (119), Salem, VA 24153-6404 | 2006-03-22 |
| 1548257843 | Francine Ann Farnsworth | Pharmacist | 1970 Roanoke Blvd, Pharmacy (119), Salem, VA 24153-6404 | 2005-10-02 |
| Find all providers in SALEM | ||||
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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.