LISA M TAYLOR KELLY


Address: 35 Millbury St, Auburn, MA 01501
Phone: 5088325917

LISA M TAYLOR KELLY (NPI# 1386604759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386604759
Entity Type Individual
Full Name LISA M TAYLOR KELLY
Credential MD
Practice Address 35 Millbury St
Auburn
MA 01501
Mailing Address 630 Plantation St
Wot Fl 12 Attn: Physician Services
Worcester
MA 01605
Practice Telephone 5088325917
Practice Fax Number 5088325751
Mailing Telephone 5083685529
Mailing Fax Number 5083685530
Enumeration Date 2006-03-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 158182 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICAID WELFARE 3190099 01
FIRST HEALTH 2039829 01
BLUE SHIELD HMO BLUE J19335 01
ONE HEALTH PLAN 042472266 01
CHILDRENS MEDICAL SECURIT 34378 01
CIGNA HEALTH PLAN 3523062 01
HEALTHCARE VALUE MANAGEME 042472266 01
THREE RIVERS 042472266 01
MA 3190099 05
PRIVATE HEALTHCARE SYSTEM 042472266 01
FALLON COMMUNITY HEALTH P 33744 01
MVP HEALTH CARE 784202 01
MEDICARE B A28596 01
BLUE CARE ELECT J19335 01
BLUE SHIELD INDEMNITY J19335 01
HEALTHY START 34378 01
AETNA US HEALTHCARE 7166020 01
HARVARD PILGRIM HEALTH CA AA1182 01

Office Location

Street Address 35 MILLBURY ST
City AUBURN
State MA
Zip Code 01501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447231022 Brenda M Mchugh Pediatrics 35 Millbury St, Auburn, MA 01501-3203 2005-11-09
1336489681 Meaghan S. Quinn Social Worker 35 Millbury St, Auburn, MA 01501-3203 2013-02-25
1942440474 Shawn P. Eck Physician Assistant 35 Millbury St, Auburn, MA 01501-3203 2009-02-24
1861686115 Natalie Ann Scheidt Physician Assistant 35 Millbury St, Auburn, MA 01501-3203 2007-08-29
1609821032 Jerry H Gurwitz Internal Medicine 35 Millbury St, Auburn, MA 01501-3203 2006-05-24
1124089057 Kathy L Chrismer Pediatrics 35 Millbury St, Auburn, MA 01501 2006-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366075533 Pawlished Pet Services LLC Driver 81 Oxford St North, Auburn, MA 01501 2020-02-17
1417588633 Kaitlin Smith Behavioral Analyst 35 Midstate Drive, Auburn, MA 01501 2020-01-27
1558881011 Rahab Karue Behavioral Analyst 23 Midstate Drive Suite 214, Apex K Home Care, Auburn, MA 01501 2017-06-26
1578917688 Family Behavioral Health Inc Behavioral Analyst 482 Southbridge St Ste 374, Auburn, MA 01501 2016-04-15
1467861724 Katharine Budra Physical Therapist 1 Swanson Rd Ste 1, Auburn, MA 01501 2014-08-11
1124437793 Benjamin Tubo Dentist 824 Southbridge St Ste 200, Auburn, MA 01501 2014-08-08
1164857835 Kelley Bailey Social Worker 714b Southbridge St Ste 6, Auburn, MA 01501 2013-09-12
1023459450 Usman Javed Dentist 434 Souhtbridge St, Auburn, MA 01501 2013-07-15
1588919914 Caitlin Murphy Physical Therapist 1 Swanson Rd Ste 1c, Auburn, MA 01501 2012-07-23
1336406453 Michael J Cohn O.d. Pllc Optometrist 48 Auburn Street, Auburn, MA 01501 2012-04-13
Find all providers in zip 01501

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578002879 Muhammad Arslan Rashid Pediatrics 37 W Garden St Ste 203, Auburn, NY 13021-2657 2017-02-20
1205977089 Pediatric Clinic LLC Pediatrics 760 E Glenn Ave, Auburn, AL 36830-5017 2007-02-12
1356494504 Angela Ciamarra Mancini Pediatrics Child Hlth Assoc., 105 Millbury St, Auburn, MA 01501 2007-01-19
1730278466 Margarita Maria Guerra Pediatrics 2709 V Ct Se, Auburn, WA 98002-7079 2006-10-12
1689769176 Pegah Khairolomour Pediatrics 3288 Bell Road, Auburn, CA 95603 2006-10-03
1073612479 Katharine Garnett Pediatrics 105 Mullbury St, Auburn, MA 01501 2006-09-22
1588677298 German Alberto Sanchez Pediatrics 202 N. Division Street, Plaza Two, Suite 202, Auburn, WA 98001 2006-08-14
1497789259 Joseph Francis Howard Pediatrics Child Health Assoc, 105 Millbury St, Auburn, MA 01501 2006-07-10
1861450785 Sara J Jacobson Pediatrics 105 Millbury St, Auburn, MA 01501-3205 2006-05-02
1619931219 Beth W. Nauert Pediatrics 126 Auburn Ave Ste 300, Auburn, WA 98002-5082 2006-04-12
Find all providers in AUBURN

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City AUBURN
Zip Code 01501

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Dataset Information

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.

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