KELLY ONEILL (NPI# 1477799310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477799310 |
| Entity Type | Individual |
| Full Name | KELLY ONEILL |
| Credential | PA-C |
| Practice Address |
13650 E Mississippi Ave Aurora CO 80012-3561 |
| Practice Telephone | 3036958684 |
| Mailing Telephone | 3036958684 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0003100 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1038 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD OF MONTANA | 0000901753 | 01 |
| MT | 1477799310 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3455 Ringsby Ct Ste 102, Denver, CO 802164923 | 3035001518 | 7205980440 |
| Street Address |
13650 E MISSISSIPPI AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80012-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912959354 | Catherine Louise Mcilhany | Pediatrics | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2006-05-16 |
| 1477049864 | Mallory Elaine Knott | Nurse Practitioner | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2018-07-09 |
| 1659897189 | Christa Highsmith | Massage Therapist | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2017-08-16 |
| 1720502057 | Candace Houston Deyerling | Registered Nurse | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2017-07-28 |
| 1548780729 | Kayla M Fisk | Nurse Practitioner | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2017-06-20 |
| 1639536360 | Christopher Ree | Physical Therapy Assistant | 13650 E Mississippi Ave, Suite 100b, Aurora, CO 80012-3561 | 2016-01-26 |
| 1073978193 | Rocky Mountain Urgent Care | Family Medicine | 13650 E Mississippi Ave, Suite 100b, Aurora, CO 80012-3561 | 2015-12-16 |
| 1578935201 | Philip John Hofschire | Pediatrics | 13650 E Mississippi Ave, Suite 100, Aurora, CO 80012-3561 | 2015-10-21 |
| 1528466703 | Andrew Jonathan Mcmaster | Physician Assistant | 13650 E Mississippi Ave, Aurora, CO 80012-3561 | 2014-12-20 |
| 1639509490 | Vladimir Pech | Internal Medicine | 13650 E Mississippi Ave, Aurora, CO 80012 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.