MATTHEW KELLEY (NPI# 1417376476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417376476 |
| Entity Type | Individual |
| Full Name | MATTHEW KELLEY |
| Credential | M.D. |
| Practice Address |
201 E University Pkwy Dept of Surgery Baltimore MD 21218-2829 |
| Mailing Address |
10807 Falls Rd Unit 87 Brooklandville MD 21022-7504 |
| Practice Telephone | 4105542782 |
| Practice Fax Number | 4102618085 |
| Mailing Fax Number | 4102618085 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D87596 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687589 | Matthew Dean Kelley | Social Worker | 900 W Broadway St Bldg 7, Newton, KS 67114-2010 | 2017-06-01 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| 1952594947 | Matthew Patrick Kelley | Dentist | 21909 64th Ave W, Mountlake Terrace, WA 98043-2278 | 2007-08-22 |
| 1649777905 | Matthew Kelley | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2018-04-12 |
| 1801319074 | Matthew Harrison Kelley | Physical Therapist | 5001 Rockside Rd # In10, Independence, OH 44131-2172 | 2017-07-19 |
| 1548507411 | Matthew Tyler Kelley | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2013-01-11 |
| 1508124827 | Matthew Kelley | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| 1124258918 | Matthew Brian Kelley | Counselor | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 | 2009-07-15 |
| 1790923696 | Matthew Kelley | Physical Therapy Assistant | 101 Uhland Rd, Suite 112, San Marcos, TX 78666-6630 | 2009-01-30 |
| Street Address |
201 E UNIVERSITY PKWY DEPT OF SURGERY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742946 | Shannon Seifert | Nurse Anesthetist, Certified Registered | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2005-06-28 |
| 1619574159 | Brady Huttinger | Physician Assistant | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-10-07 |
| 1285241976 | Stephanie Banks | Health Educator | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-09-26 |
| 1366059149 | Sherri Lynn Harper | Community Health Worker | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-09-25 |
| 1730793738 | Taha Khalid | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-09-07 |
| 1124632930 | Yogesh Subedi | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-08-31 |
| 1477167294 | Seejal Niraula | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-08-31 |
| 1942812698 | Diwakar Panta | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-08-22 |
| 1649882036 | Gaurav Raj Shrestha | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-08-18 |
| 1922610260 | Ngawang Dhonten | Student in an Organized Health Care Education/Training Program | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2020-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
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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.