DR. WILLIAM T KELLEY (NPI# 1508911736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508911736 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM T KELLEY |
| Credential | MD |
| Practice Address |
1000 East 2nd Street Coudersport PA 16915 |
| Mailing Address |
815 S Palafox St Suite 300 Pensacola FL 32502-5937 |
| Practice Telephone | 8142749300 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD022885E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831542836 | William Kelley | Physical Therapist | 3100 Naomi St, Miami, FL 33133-4510 | 2016-07-14 |
| 1750436713 | William Duane Kelley Jr. | Chiropractor | 100 Mclay Dr, Elizabeth, PA 15037-2362 | 2007-01-23 |
| 1285782532 | William Kelley | Physician Assistant | 1164 Andrews Rd, Murphy, NC 28906-2898 | 2007-01-05 |
| 1043373384 | William Scott Kelley | Podiatrist | 35 S Spruce St Fl 1, Ramsey, NJ 07446-2549 | 2006-12-18 |
| 1891708897 | William Joseph Kelley | Plastic Surgery | 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 | 2006-08-14 |
| 1962425215 | William M Kelley | Dentist | 780 E Romie Ln Ste F, Salinas, CA 93901-4223 | 2006-07-26 |
| 1376561647 | William H. Kelley | Family Medicine | 7069 Us Highway 67 E, Maud, TX 75567-4583 | 2006-07-17 |
| 1932145976 | William Joseph Kelley | Internal Medicine | 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 | 2006-06-20 |
| 1770555401 | William Bernard Kelley | Specialist | 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 | 2006-02-06 |
| 1780666560 | William R Kelley Jr. | Radiology | 1401 Bailey Ave, Dept of Radiology, Needles, CA 92363-3103 | 2005-11-16 |
| Street Address |
1000 EAST 2ND STREET |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1396186938 | Michael Nowicki | Surgery | 1001 E 2nd St, Coudersport, PA 16915 | 2013-07-11 |
| Find all providers in zip 16915 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1538488929 | Cara Lee Fink | Emergency Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2010-05-25 |
| 1255400164 | Richard Curtis Horton | Emergency Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.