DR. ROBERT B KELLY


Address: 14601 Detroit Rd Fl 2, Lakewood, OH 44107
Phone: 2162375500

DR. ROBERT B KELLY (NPI# 1497863039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497863039
Entity Type Individual
Full Name DR. ROBERT B KELLY
Credential M.D.
Practice Address 14601 Detroit Rd Fl 2
Lakewood
OH 44107
Practice Telephone 2162375500
Practice Fax Number 2162375670
Mailing Telephone 2162375500
Mailing Fax Number 2162375670
Enumeration Date 2006-08-25
Last Update Date 2018-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 35048873 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0523839 05

Other Providers ROBERT KELLY

NPI Name Taxonomy Address Enumeration
1871902494 Robert Keith Kelly Chiropractor 243 Knoll Woods Dr, Rustburg, VA 24588-3316 2014-08-07
1336402452 Robert Kelly Family Medicine 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 2012-06-22
1922375310 Robert R. Kelly Pediatrics 110 Poncha Ave, Alamosa, CO 81101-2160 2011-11-29
1174708267 Robert D. Kelly Physical Medicine & Rehabilitation 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 2008-01-08
1922202738 Robert B Kelly Neuromusculoskeletal Medicine & OMM 823 Lacey Rd, Forked River, NJ 08731-1203 2007-06-14
1457555054 Robert Henry Kelly Orthopaedic Surgery 1006 Russell Loop, The Villages, FL 32162-6458 2007-06-14
1811101876 Robert H Kelly Dentist 24540 E Welches Rd, Welches, OR 97067-0347 2007-05-09
1902029291 Robert J Kelly Pharmacist 4101 W 95th St, Oak Lawn, IL 60453-3587 2007-04-11
1790850675 Robert Toms Kelly Dentist 1635 Doctors Cir, Wilmington, NC 28401-7405 2006-11-23
1811900756 Robert Mouledoux Kelly Optometrist 4225 Lapalco Blvd., Marrero, LA 70072-4338 2006-08-14

Office Location

Street Address 14601 DETROIT RD FL 2
City LAKEWOOD
State OH
Zip Code 44107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114531522 Scl Health Medical Group - Denver, LLC Family Medicine 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 2020-09-02
1952913774 Scl Health Medical Group - Denver, LLC Family Medicine 325 S Teller St Ste 250, Lakewood, CO 80226-7429 2020-08-21
1356860803 Front Range Clinic Inc. Family Medicine 1410 Vance St Ste 201, Lakewood, CO 80214-5435 2017-09-15
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1083148324 Stephanie Baker Family Medicine 255 S Routt St, Lakewood, CO 80228-2271 2017-04-13
1043766413 Paladina Health, LLC Family Medicine 3701 Michelson St, Lakewood, CA 90712-1402 2016-08-26
1245686674 Gary James Cantrell Jr. Family Medicine 12105 W Alameda Pkwy Ste 100, Lakewood, CO 80228-2832 2016-05-04
1073967394 Mirna S Rizkalla Family Medicine 3650 South St Ste 404, Lakewood, CA 90712 2016-04-22
1194145656 Mile High Wound and Hyperbaric Medicine Pllc Family Medicine 12065 W Auburn Dr, Lakewood, CO 80228-4765 2014-04-23
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 44107

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Dataset Information

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.

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