DR. MICHAEL T KELLY (NPI# 1518936152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518936152 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL T KELLY |
| Credential | MD |
| Practice Address |
1202 W Farm Rd Stillwater OK 74078-2000 |
| Practice Telephone | 4057447665 |
| Practice Fax Number | 4057446556 |
| Mailing Telephone | 4057447665 |
| Mailing Fax Number | 4057446556 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12715 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
1202 W FARM RD |
| City | STILLWATER |
| State | OK |
| Zip Code | 74078-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295429 | Michael Warren Strange | Internal Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-02-21 |
| 1740769439 | Lindsey Loraine Leforce | Nurse Practitioner | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2018-08-13 |
| 1427350214 | Dawn Elynn Swinford | Nurse Practitioner | 1202 W Farm Rd, Stillwater, OK 74078-2036 | 2010-11-30 |
| 1598827776 | Oklahoma State University | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2036 | 2006-12-14 |
| 1881639367 | Osu University Health Services | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-06-18 |
| 1043252158 | Bradley K Warrick | Neuromusculoskeletal Medicine & OMM | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-06-12 |
| 1023086188 | Jane L Curtis | Family Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477930428 | Claire Williams | Specialist/Technologist | 170f Athletics Center, Stillwater, OK 74078 | 2015-04-29 |
| 1114216959 | Kara Sue Niccum | Counselor | 320 Student Union, Stillwater, OK 74078 | 2011-04-01 |
| 1992028971 | Trevor Richardson | Psychologist | 316 Student Union, Stillwater, OK 74078 | 2010-03-05 |
| 1639391584 | Jason R Miller | Specialist/Technologist | Oklahoma State University, Athletics Center, Stillwater, OK 74078 | 2007-05-02 |
| 1396877957 | Thomas Jai Gross | Counselor | 434 Willard Hall, Oklahoma State University, Stillwater, OK 74078 | 2007-03-09 |
| 1043373533 | Val Gene Iven | Internal Medicine | 170 Athletics Center, Osu Sportsmedicine, Stillwater, OK 74078 | 2006-12-18 |
| 1851940365 | Sherri Norton | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2019-09-06 |
| 1629224720 | Kristi Dee Carpenter | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2008-08-08 |
| 1700994878 | Oklahoma State University | Audiologist | 042 Murray, Stillwater, OK 74078 | 2006-08-28 |
| 1922658301 | James Kenneth Jefferson | Specialist/Technologist | 200 Athletic Center Gallagher Iba Arena, Stillwater, OK 74078-0001 | 2019-09-17 |
| Find all providers in zip 74078 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1336657022 | Brandi Watts | Family Medicine | 1523 W 9th Ave, Stillwater, OK 74074-5469 | 2018-01-16 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1003149139 | Oca Stillwater Lp | Family Medicine | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2009-09-08 |
| 1184871295 | Jon Stratte | Family Medicine | 114 Lakeside Dr, Stillwater, MN 55082-4238 | 2008-08-20 |
| 1215125489 | Paul Vincent Quinn | Family Medicine | 9991 Arcola Ct N, Stillwater, MN 55082-9523 | 2007-10-11 |
| 1972527422 | Andrew D Maas | Family Medicine | 270 Main N St 300, Stillwater, MN 55082-6788 | 2006-07-27 |
| 1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
| 1275566358 | Wesley Andrews | Family Medicine | O S U Student Health Service, 1202 W. Farm Road, Stillwater, OK 74078-2036 | 2006-07-09 |
| 1114967288 | Kenneth Evans | Family Medicine | 8821 W 6th Ave, Stillwater, OK 74074-1094 | 2006-06-07 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74078 |
Please comment or provide details below to improve the information on DR. MICHAEL T KELLY.
| 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.