MARK EDWARD KELLY (NPI# 1346294022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346294022 |
| Entity Type | Individual |
| Full Name | MARK EDWARD KELLY |
| Credential | MD |
| Practice Address |
2 Columbia Dr Tampa FL 33606-3508 |
| Practice Telephone | 8138444396 |
| Practice Fax Number | 8138444972 |
| Mailing Telephone | 8138444396 |
| Mailing Fax Number | 8138444972 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME82914 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD | 050083047 | 01 |
| FL | 262154100 | 05 | |
| FL | DOL ACS (FECA) W/C | 300802800 | 01 |
| FL | FL BCBS NUMBER | 03171 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356449755 | Mark Christopher Kelly | Physical Therapist | 1 Brace Rd Ste A, Cherry Hill, NJ 08034 | 2006-09-20 |
| 1760942403 | Mark Kelly | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-20 |
| 1174027320 | Mark Kelly | Student in an Organized Health Care Education/Training Program | 677 Church Street, Attn: Gme, Marietta, GA 30060 | 2018-03-22 |
| 1366804742 | Mark Ryan Kelly | Counselor | 1908 N Laurent St, Suite 120, Victoria, TX 77901-5468 | 2016-03-24 |
| 1639300932 | Mark Kim Kelly | Radiology | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2009-08-04 |
| 1770641136 | Mark Kelly | Radiology | 25 N Winfield Road, Winfield, IL 60190 | 2006-12-05 |
| 1093889263 | Mark Joseph Kelly | Urology | 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403-4812 | 2006-11-20 |
| 1578656393 | Mark T Kelly | Dentist | 3637 Nw 39th St, Oklahoma City, OK 73112-6309 | 2006-10-02 |
| 1407958325 | Mark Paul Kelly | Clinical Neuropsychologist | 6900 Georgia Ave Nw, Walter Reed Army Medical Center, Washington, DC 20307-0003 | 2006-09-01 |
| 1457394090 | Mark Kelly | Emergency Medicine | 1220 Jefferson St, Laurel, MS 39440-4355 | 2006-06-13 |
| Street Address |
2 COLUMBIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854383 | William Arthur Grass | Nurse Practitioner | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2005-07-13 |
| 1588989404 | Debra N Brosius | Psychologist | 2 Columbia Dr, Tampa, FL 33606-3683 | 2010-04-03 |
| 1235382789 | Christopher M Orenich | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-28 |
| 1568614121 | Anthony E Lumas | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-15 |
| 1235380239 | Zhen Li | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-08 |
| 1104075753 | Habib Ajami | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1649429374 | Jose J Correa | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1447409172 | Matthias Setzer | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1689823411 | Jason R Pericak | Radiology | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| 1740439413 | Sean A Phillips | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171823 | Nawreen Jahan | Anesthesiology | 10808 Sassafras St, Tampa, FL 33617-3541 | 2020-07-22 |
| 1134777147 | Anesthesia 3 0 LLC | Anesthesiology | 360 Blanca Ave, Tampa, FL 33606-3630 | 2019-09-03 |
| 1457821324 | Executive Anesthesia Inc. | Anesthesiology | 4532 W Kennedy Blvd Ste 134, Tampa, FL 33609-2042 | 2018-12-04 |
| 1649761164 | Olympia Anesthesia LLC | Anesthesiology | 16618 Villalenda De Avila, Tampa, FL 33613-5200 | 2018-05-21 |
| 1003202524 | Veda Managing LLC | Anesthesiology | 10831 Barbados Isle Dr, Tampa, FL 33647-2792 | 2015-04-10 |
| 1760800569 | Nikolaus Lee Gravenstein | Anesthesiology | 449 S 12th St Unit 1003, Tampa, FL 33602-5608 | 2014-03-31 |
| 1861817744 | Gregory Horn | Anesthesiology | 610 S Rome Ave Apt 102, Tampa, FL 33606-2541 | 2014-02-28 |
| 1588934756 | Sondra Shields, Md, Plc | Anesthesiology | 14437 University Cove Place, Tampa, FL 33613-3741 | 2012-01-05 |
| 1235442757 | Jay Parekh | Anesthesiology | 8318 North Habana Ave, Tampa, FL 33614 | 2010-07-26 |
| 1508097361 | Anesthesiologist Associates Oak Hill Division, Pa | Anesthesiology | 4934 W Melrose Ave S, Tampa, FL 33629-5420 | 2009-07-28 |
| Find all providers in TAMPA | ||||
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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.