DR. AUGUSTINE J. KELLIS (NPI# 1437193828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437193828 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTINE J. KELLIS |
| Credential | M.D. |
| Practice Address |
150 7th Ave Suite 100 Chardon OH 44024-2908 |
| Practice Telephone | 4402852020 |
| Mailing Telephone | 4402852020 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35060480 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | 180020602 | 01 |
| OH | 0978036 | 05 |
| Street Address |
150 7TH AVE SUITE 100 |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505806 | Kraig K Solak | Orthopaedic Surgery | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2005-08-18 |
| 1467615047 | Albert S Dunn | Orthopaedic Surgery | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2008-07-03 |
| 1306024906 | Benjamin Joseph Deszczykiewicz | Physical Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2008-02-06 |
| 1073713400 | Ophthalmology and Oculoplastic Surgery, Inc. | Optometrist | 150 7th Ave, Suite 100, Chardon, OH 44024-2908 | 2007-07-24 |
| 1255530887 | Colleen Ann Dumm | Physical Therapist | 150 7th Ave, Chardon, OH 44024-2908 | 2007-07-13 |
| 1336221332 | Tunde A Ilkanich | Occupational Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2006-10-19 |
| 1518048396 | University Primary Care Practices Inc. | Prosthetic/Orthotic Supplier | 150 7th Ave, Chardon, OH 44024-2908 | 2006-10-18 |
| 1235238825 | Dawn M Barkan | Optometrist | 150 7th Ave, Suite 100, Chardon, OH 44024-2908 | 2006-09-21 |
| 1235158791 | Patrick W Starkey | Physical Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2006-07-18 |
| 1144278003 | Daniel J Zinna | Physical Therapist | 150 7th Ave, Suite 200, Chardon, OH 44024-2908 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982643102 | Michael Eliyahu Rom | Ophthalmology | 13170 Ravenna Road, Suite 204, Chardon, OH 44024 | 2006-06-05 |
| 1750548574 | Michael E. Rom, M.d. Inc | Ophthalmology | 13170 Ravenna Rd, Suite 204, Chardon, OH 44024-7025 | 2008-05-20 |
| 1396950184 | Gene Aidan Johnson | Ophthalmology | 150 Seventh Ave, Suite 100, Chardon, OH 44024-2908 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
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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.