BRIAN C KELLOGG (NPI# 1386962561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962561 |
| Entity Type | Individual |
| Full Name | BRIAN C KELLOGG |
| Credential | MD |
| Practice Address |
13535 Nemours Pkwy Orlando FL 32827-7402 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974127 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35128432 | OH | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | ME137032 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
35128432 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CGS-MEDICARE | H556010 | 01 |
| FL | 100193900 | 05 | |
| OH | 0222015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| Street Address |
13535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454924 | Mary Bratovich Toth | Internal Medicine | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2005-08-21 |
| 1619597424 | Sarah Mullinax | Social Worker | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2020-04-22 |
| 1255976734 | Aubrei Blumberg | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1770128258 | Zindia Figueroa | Nurse Anesthetist, Certified Registered | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1871135632 | Erin Armstrong | Registered Nurse | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-10-14 |
| 1699322677 | Daisy Jareidy Ocasio | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1720635709 | Tatiana Paola Lozada | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1144876772 | Ashley Patricia Shuler | Behavioral Analyst | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-09 |
| 1730731415 | Julio Cesar Patino Legge | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| 1215589098 | Candace Marie Deluca | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752614 | Kamran Azad, Md P.a. | Plastic Surgery | 8202 Bellow St, Orlando, FL 32827-7224 | 2015-10-16 |
| 1013351766 | Plastic Surgery of Central Florida, LLC | Plastic Surgery | 95 West Kaley St, Orlando, FL 32806 | 2013-04-24 |
| 1770719510 | Anup Patel | Plastic Surgery | 801 N. Orange Ave Suite 600, Orlando, FL 32801 | 2009-06-08 |
| 1164649786 | Florencio Jorge Gonzalez | Plastic Surgery | 3100 Clay Ave, Suite # 299, Orlando, FL 32804-4026 | 2007-04-18 |
| 1629194618 | Charles Edwin Newman Jr. | Plastic Surgery | 444 N Mills Ave, Orlando, FL 32803-5736 | 2007-03-21 |
| 1396876371 | Jan Victor Karlin | Plastic Surgery | 7600 Dr Phillips Blvd, Suite 58, Orlando, FL 32819-7231 | 2007-03-08 |
| 1861579146 | Orlando Plastic Surgery Center | Plastic Surgery | 3872 Oakwater Cir, Orlando, FL 32806-6263 | 2006-11-01 |
| 1275920209 | Hz Plastic Surgery LLC | Plastic Surgery | 7575 Dr Phillips Blvd, Suite 10, Orlando, FL 32819-7216 | 2015-04-16 |
| 1790128312 | Fernando Ovalle Jr. | Plastic Surgery | 7652 Ashley Park Ct Ste 305, Orlando, FL 32835-6199 | 2013-04-12 |
| 1033451950 | Kenrick Anthony Spence I | Plastic Surgery | 130 Hillcrest St, Orlando, FL 32801-1210 | 2013-03-18 |
| Find all providers in ORLANDO | ||||
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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.