ANGELA M KELLE (NPI# 1376864355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376864355 |
| Entity Type | Individual |
| Full Name | ANGELA M KELLE |
| Credential | MD |
| Practice Address |
121 N Nyes Rd Ste D Harrisburg PA 17112-3248 |
| Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
| Practice Telephone | 7175318674 |
| Practice Fax Number | 7175310401 |
| Mailing Telephone | (800) 243-1455 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 54152 | MN | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
MD462318 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
121 N NYES RD STE D |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922051762 | Vincent P Aluquin | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112 | 2006-05-19 |
| 1215370952 | Bryan Paul Stefek | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112-3248 | 2013-04-11 |
| 1952513160 | Terrah M. Keck-kester | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112-3248 | 2007-05-03 |
| 1194892414 | Marsha B Novick | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112-3248 | 2006-11-30 |
| 1790732782 | Mark H Cohen | Internal Medicine | 121 N Nyes Rd Ste D, Harrisburg, PA 17112-3248 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922051762 | Vincent P Aluquin | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112 | 2006-05-19 |
| 1598728719 | Michele P. Monaco | Pediatrics | 121 N Nyes Rd, Ste D, Harrisburg, PA 17112-3247 | 2006-04-10 |
| 1215370952 | Bryan Paul Stefek | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112-3248 | 2013-04-11 |
| 1144305491 | Dennis Chang | Pediatrics | 121 N Nyes Rd, Suite D, Harrisburg, PA 17112-3247 | 2006-10-26 |
| 1427023761 | The Milton S. Hershey Medical Center Physician Group | Pediatrics | 121 Nyes Rd, Suite D, Harrisburg, PA 17112-3247 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1316363716 | Alan Marc Mendelsohn | Pediatrics | 628 S Mount Pleasant Rd, Philadelphia, PA 19119-2957 | 2014-03-10 |
| 1497014062 | Lancaster General Hospital | Pediatrics | 2110 Harrisburg Pike Ste 315, Lancaster, PA 17601-2644 | 2012-05-16 |
| 1508008392 | Robert Anthony Palermo | Pediatrics | 1605 N Cedar Crest Blvd Ste 119, Allentown, PA 18104 | 2009-03-25 |
| 1598962417 | Cara Angela Garofalo | Pediatrics | Erie Ave. At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-07-03 |
| 1841396058 | David Mark Freeman | Pediatrics | 1351 W 6th St, Erie, PA 16505-2503 | 2006-09-15 |
| 1700800489 | Prapti Mulraj Kanani | Pediatrics | 3500 Brooktree Rd, Suite 204, Wexford, PA 15090-9277 | 2006-07-27 |
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1184241119 | Stc Pediatrics LLC | Pediatrics | 1600 E High St, Pottstown, PA 19464-5008 | 2020-06-25 |
| 1881210813 | Stc Pediatrics LLC | Pediatrics | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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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.