THOMAS A. KELLY D.O. P.C. (NPI# 1366689275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366689275 |
| Entity Type | Organization |
| Organization Name | THOMAS A. KELLY D.O. P.C. |
| Practice Address |
101 E Spicerville Hwy Eaton Rapids MI 48827-1919 |
| Mailing Address |
Po Box 417 Eaton Rapids MI 48827-0417 |
| Practice Telephone | 5176632705 |
| Practice Fax Number | 5176639470 |
| Mailing Telephone | 5176632705 |
| Mailing Fax Number | 5176639470 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | DR. THOMAS A KELLY (PRESIDENT) |
| Authorized Official Telephone | 5176632705 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101008344 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHYSICIAN HEALTH PLAN | 0100444 | 01 | |
| MI | BLUE PREFFERED PLUS | 0152330085 | 01 |
| MI | MCLAREN | 202869 | 01 |
| MI | PHYSICIAN HEALTH PLAN FAMILY CARE | 200000002219 | 01 |
| MI | THE WELLNESS PLAN | 10046150001 | 01 |
| MI | BLUE CARE NETWORK | P93421 | 01 |
| MI | THE WELLNESS PLAN MEDICAID | 10046150001 | 01 |
| MI | BLUE CROSS BLUE SHIELD PPO TRUST | 0152330085 | 01 |
| MI | 3319192 | 05 | |
| CHAMPUS | M034742 | 01 | |
| MI | BLUE CROSS BLUE SHIELD MEDICAL PIN | 0152330085 | 01 |
| MI | BLUE CHOICE | 0152330085 | 01 |
| CIGNA HEALTHCARE | 0279722 | 01 |
| Street Address |
101 E SPICERVILLE HWY |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886565 | Ashok K Gupta | Internal Medicine | 101 E Spicerville Hwy, Ste 300, Eaton Rapids, MI 48827-1919 | 2006-01-25 |
| 1275708380 | Ashok K Gupta Md Plc | Internal Medicine | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2008-04-29 |
| 1942427240 | Cynthia Allison Varterasian | Marriage & Family Therapist | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2007-04-19 |
| 1588751226 | Vickie L Gregory | Nurse Practitioner | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2006-10-06 |
| 1639279300 | Susan L Courtnage | Internal Medicine | 101 E Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 | 2006-09-23 |
| 1568562221 | Susan L. Courtnage, Md, PC | Internal Medicine | 101 E Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 | 2006-09-23 |
| 1629033444 | Thomas Alan Kelly | Emergency Medicine | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1083062368 | Tara Calabro | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2016-05-27 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
Please comment or provide details below to improve the information on THOMAS A. KELLY D.O. P.C..
| 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.