CHARLES MICHAEL KELLY (NPI# 1528009800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528009800 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL KELLY |
| Other Name | C. MICHAEL KELLY |
| Credential | M.D. |
| Practice Address |
7710 Mercy Rd Suite 224 Omaha NE 68124-2372 |
| Mailing Address |
17030 Lakeside Hills Plz Suite 200 Omaha NE 68130-2396 |
| Practice Telephone | 4023998550 |
| Practice Fax Number | 4023998455 |
| Mailing Telephone | 4023998550 |
| Mailing Fax Number | 4023998455 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16976 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | SHARE ADVANTAGE/MERCY RD | 09-00180 | 01 |
| NE | SHARE ADVANTAGE/LAKESIDE | 09-01137 | 01 |
| NE | 47063010113 | 05 | |
| NE | BCBS OF NEBRASKA | 03880 | 01 |
| NE | MIDLANDS CHOICE | 16404 | 01 |
| IA | 0989095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366765661 | Charles Christopher Kelly | Massage Therapist | 124 Arborgate Cir, Columbia, SC 29212-2465 | 2010-03-01 |
| 1730123639 | Charles E Kelly | Specialist | 3050 Centre Pointe Drive, Suite 200, Roseville, MN 55113 | 2006-06-15 |
| 1780678979 | Charles E Kelly II | Specialist | 2839 Hwy 231 North, Suite 208a, Shelbyville, TN 37160-7449 | 2005-09-02 |
| 1922588292 | Charles Kelly | Physical Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681 | 2018-08-16 |
| 1093247447 | Charles Michael Kelly II | Family Medicine | 210 9th St Se, Rochester, MN 55904-6756 | 2017-04-03 |
| 1508013103 | Charles J Kelly | Counselor | 21 Franciscan Way, Garrison, NY 10524-0150 | 2008-08-26 |
| 1518025683 | Charles L Kelly | Social Worker | 40 Industrial Park Rd, Department of Mental Health, Plymouth, MA 02360-4884 | 2006-12-04 |
| 1447367461 | Charles Francis Kelly | Chiropractor | 36410 Garfield, Clinton Township, MI 48035-1131 | 2006-08-24 |
| 1760402473 | Charles A. Kelly | Psychiatry & Neurology | 913 Bowman Rd # B, Mt Pleasant, SC 29464-3235 | 2006-07-19 |
| 1083674352 | Charles A Kelly | Anesthesiology | 40 Second Ave, Waltham, MA 02451 | 2006-03-23 |
| Street Address |
7710 MERCY RD SUITE 224 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555753 | Gernon A Longo | Urology | 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 | 2005-06-01 |
| 1396342739 | Ashley N Klepinger | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-10-08 |
| 1437768769 | Faith Opeyemi Abodunrin | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-07-22 |
| 1841817087 | Abdelrazeg Abubaker A Houssein | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2020-07-04 |
| 1538780382 | Amarjyot Kaur Randhawa | Student in an Organized Health Care Education/Training Program | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2020-05-04 |
| 1467004374 | Moeed Ahmed | Internal Medicine | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-07-10 |
| 1609434976 | Erica F Fritz | Nurse Practitioner | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2019-06-03 |
| 1053880732 | Beth Mckelvey | Pharmacist | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-11-25 |
| 1205314036 | Abdallah Qasim | Internal Medicine | 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124 | 2018-08-02 |
| 1649766130 | Taylor Soon-sutton | Urology | 7710 Mercy Rd, Omaha, NE 68124-2372 | 2018-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285836049 | Daniel Firestone | Orthopaedic Surgery | 2727 S 144th St Ste 142, Omaha, NE 68144-5225 | 2007-06-04 |
| 1740333608 | Midwest Orthopedics PC | Orthopaedic Surgery | 6829 N 72 St, Suite 7500, Omaha, NE 68122-1790 | 2007-01-22 |
| 1255347456 | Randall D Neumann | Orthopaedic Surgery | 2725 South 144th St, Suite 212, Omaha, NE 68144 | 2006-07-31 |
| 1023050978 | Mark E Dietrich | Orthopaedic Surgery | 981080 Nebraska Medical Ctr, Omaha, NE 68198-1080 | 2006-06-12 |
| 1316995665 | Edward Vincent Fehringer | Orthopaedic Surgery | 4014 Leavenworth St, Omaha, NE 68105-1053 | 2006-05-05 |
| 1578552063 | Bryan D Bredthauer | Orthopaedic Surgery | 11819 Miracle Hills Dr, Suite 203, Omaha, NE 68154-4428 | 2005-10-17 |
| 1346243755 | Howard Randal Woodward | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
| 1497370407 | Dylan Fischer | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-15 |
| 1619592888 | Carla Strohhofer | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-12 |
| 1649895228 | Keagan Timothy Gertz | Orthopaedic Surgery | 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2020-06-10 |
| Find all providers in OMAHA | ||||
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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.