GARY A KELL (NPI# 1396788261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396788261 |
| Entity Type | Individual |
| Full Name | GARY A KELL |
| Credential | MD |
| Practice Address |
1001 E Primrose St Springfield MO 65807-5155 |
| Mailing Address |
Po Box 9007 Springfield MO 65808-9007 |
| Practice Telephone | 4178753000 |
| Practice Fax Number | 4178753409 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
33486 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS/BLUE SHIELD | 107060 | 01 | |
| MO | 200404804 | 05 |
| Street Address |
1001 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915792 | Robert Clayton Scanlon II | Urology | 1001 E Primrose St, Springfield, MO 65807-5155 | 2005-07-07 |
| 1619580537 | Nathaniel Levi Kenady | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2020-08-29 |
| 1891343893 | Connie J Garrett | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-09-03 |
| 1689236085 | Lindsey Joy Gelber | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-07-05 |
| 1174186654 | Stephenie Michele Zinter | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-04-19 |
| 1215495650 | Mikel Dashtipour | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-03-05 |
| 1043774789 | Arielle M Campbell | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-01-28 |
| 1649755919 | Stephanie Lynn Brown | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-10-02 |
| 1114401312 | Teresa Cunningham | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-09-24 |
| 1336629120 | Katelynne D Haun | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1255564829 | Richard Thomas Bilinsky | Internal Medicine | 3700 W Bluffs Rd, Springfield, IL 62711-9269 | 2009-08-31 |
| 1881884179 | Amit Pal Singh | Internal Medicine | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | 2007-08-01 |
| 1336278225 | Thomas H Ebert | Internal Medicine | Health New England, One Monarch Place, Springfield, MA 01144 | 2007-03-05 |
| 1851473730 | Pavan Chopra | Internal Medicine | 3355 Riverbend Drive Suite 200, Springfield, OR 97477-0000 | 2006-10-19 |
| 1073534004 | Eugene Springfield Nephrology Associates, PC | Internal Medicine | 3355 Riverbend Dr Ste 200, Springfield, OR 97477 | 2006-07-23 |
| 1255302626 | Ashraf Tamizuddin | Internal Medicine | 3401 Conifer Dr, Springfield, IL 62711-8300 | 2006-02-01 |
| 1568432581 | Maria Victoria Largoza | Internal Medicine | 100 W Sproul Rd Ste 224, Springfield, PA 19064-2033 | 2006-01-23 |
| 1740264365 | Nicolas A. Forero | Internal Medicine | 350 W Carpenter St, Springfield, IL 62702-4902 | 2005-12-06 |
| 1174516652 | Pius Kurian | Internal Medicine | 2200 N Limestone St Ste 114, Springfield, OH 45503-2692 | 2005-08-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.