DONALD SHANE KELLY (NPI# 1417952185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417952185 |
| Entity Type | Individual |
| Full Name | DONALD SHANE KELLY |
| Credential | MD |
| Practice Address |
50 Medical Park Dr E Birmingham AL 35235-3401 |
| Mailing Address |
2000a Southbridge Pkwy Ste 300 Birmingham AL 35209-7718 |
| Practice Telephone | 2058383435 |
| Mailing Telephone | 2058714274 |
| Mailing Fax Number | 2058714301 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17436 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009938639 | 05 | |
| AL | 009985785 | 05 | |
| AL | BLUE CROSS | 051513028 | 01 |
| AL | 009938633 | 05 | |
| AL | 009938636 | 05 | |
| AL | 009938641 | 05 | |
| AL | 009938634 | 05 | |
| AL | 009938637 | 05 | |
| AL | 009938642 | 05 | |
| AL | 051513024 | 05 | |
| AL | BLUE CROSS | 051513025 | 01 |
| AL | BLUE CROSS | 051513026 | 01 |
| AL | BLUE CROSS | 051513031 | 01 |
| AL | BLUE CROSS | 051513033 | 01 |
| AL | BLUE CROSS | 051539833 | 01 |
| AL | 009938638 | 05 | |
| AL | BLUE CROSS | 051513030 | 01 |
| AL | BLUE CROSS | 051525309 | 01 |
| AL | AETNA | 7996461 | 01 |
| AL | BLUE CROSS | 051513024 | 01 |
| AL | BLUE CROSS | 051513027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033467543 | Donald Kaempfer Kelly | General Practice | 16213 Agatewood Rd Ne, Bainbridge Island, WA 98110-1088 | 2012-08-15 |
| 1235493016 | Donald W Kelly | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2012-06-27 |
| 1225206840 | Donald Kelly | Pharmacist | 930 County Road 64, Target Pharmacy T-2158, Elmira, NY 14903-9704 | 2008-02-16 |
| 1265512867 | Donald C Kelly | Physical Therapist | 80 Park St, Attleboro, MA 02703-2335 | 2006-10-17 |
| 1942269873 | Donald R Kelly | Physician Assistant | 2121 E Harmony Rd, Ste 330, Fort Collins, CO 80528-3400 | 2006-03-20 |
| 1972572907 | Donald B Kelly | Optometrist | 880 N Military Hwy, Norfolk, VA 23502-3733 | 2006-03-14 |
| 1982601605 | Donald R Kelly | Orthopaedic Surgery | 85 Seymour St, Suite 607, Hartford, CT 06106-5501 | 2005-07-07 |
| Street Address |
50 MEDICAL PARK DR E |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164678 | Marc J Chitty | Radiology | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2005-06-16 |
| 1821602020 | St. Vincent's East | Clinical Medical Laboratory | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-09-04 |
| 1588273601 | Brett Allyn Weis | Anesthesiology | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-07-24 |
| 1144843947 | Drew Leighton Kilgore | Nurse Anesthetist, Certified Registered | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-05-27 |
| 1740800556 | Brady Christopher Keel | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-04-22 |
| 1093334856 | Kannika Green | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-04-13 |
| 1619596772 | Mark Austin Merritt | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-04-09 |
| 1578190617 | Noelle Christine Henderson | Nurse Practitioner | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2020-03-26 |
| 1598308215 | Megan Boissel | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2019-10-25 |
| 1003465279 | Emily Karanja | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
| 1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
| 1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
| 1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
| 1306258751 | Benjamin Ross Snead | Radiology | 3690 Grandview Pkwy Dept Of, Birmingham, AL 35243-3326 | 2014-05-20 |
| 1538586433 | David Breland | Radiology | 2204 Lakeshore Dr Ste 140, Birmingham, AL 35209-6741 | 2014-03-28 |
| 1649603267 | Dane David Hellwig | Radiology | 1211 Concord Ave, Birmingham, AL 35213-2120 | 2013-08-19 |
| 1982982047 | Bradley James Cherenzia | Radiology | 655 Chester St, Birmingham, MI 48009-1436 | 2011-07-23 |
| 1891088670 | George R Newman | Radiology | 341 Kingston Cir, Birmingham, AL 35211-6982 | 2011-05-26 |
| 1518250067 | Chandler Hargrove Smith | Radiology | 368 Vesclub Drive, Birmingham, AL 35216 | 2011-05-17 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
Please comment or provide details below to improve the information on DONALD SHANE KELLY.
| 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.