MS. ROSEMARY EILEEN KELLEY (NPI# 1467593830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467593830 |
Entity Type | Individual |
Full Name | MS. ROSEMARY EILEEN KELLEY |
Credential | PA-C |
Practice Address |
100 S James St Goldsboro NC 27530-4758 |
Mailing Address |
99 Hamilton Dr Clinton NC 28328-4706 |
Practice Telephone | 9195870270 |
Mailing Telephone | 3157837875 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA NUMBER | MK0830201 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447684576 | Rosemary Kelley | Counselor | 3436 N Kennicott Ave, Arlington Heights, IL 60004-7814 | 2013-08-26 |
Street Address |
100 S JAMES ST |
City | GOLDSBORO |
State | NC |
Zip Code | 27530-4758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
Find all providers in zip 27530 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801923016 | Vanessa Miller Stovall | Physician Assistant | 701 Stevens Mill Rd, Goldsboro, NC 27530 | 2007-02-27 |
1134204670 | Glenn Williams | Physician Assistant | 202 Millbrook Village Dr, Goldsboro, NC 27530-7768 | 2006-10-25 |
1427416502 | Hannah Mckenzie | Physician Assistant | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2016-02-04 |
1366809642 | Allison Rose Radford | Physician Assistant | 103 Cox Blvd, Goldsboro, NC 27534-9478 | 2016-01-18 |
1184047912 | Michael Albright | Physician Assistant | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2014-01-30 |
1770822348 | Peter Malcolm Stanford | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2013-02-02 |
1093091910 | Tiffani Ann Hoefer | Physician Assistant | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2011-10-24 |
1417253204 | Robin Lear Dawson | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2011-01-27 |
1104071034 | Ashley Blaire Slate | Physician Assistant | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2008-11-19 |
1336288091 | John Watson Bass | Physician Assistant | 2704 Medical Office Pl, Goldsboro, NC 27534-9460 | 2007-02-06 |
Find all providers in GOLDSBORO |
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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.