STEPHEN ROY KELLY


Address: 900 11th St Se, Bandon, OR 97411-9114
Phone: 5413472426

STEPHEN ROY KELLY (NPI# 1538239280) 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) 1538239280
Entity Type Individual
Full Name STEPHEN ROY KELLY
Credential MD
Practice Address 900 11th St Se
Bandon
OR 97411-9114
Practice Telephone 5413472426
Practice Fax Number 5413473923
Mailing Telephone 5413472426
Mailing Fax Number 5413473923
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered OR Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHEN KELLY

NPI Name Taxonomy Address Enumeration
1861023343 Stephen M Kelly Specialist/Technologist N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 2020-02-03
1235781584 Stephen Kelly Student in an Organized Health Care Education/Training Program 2114 E Pinnacle Terrace Way Apt 302, Cottonwood Heights, UT 84121-5086 2019-07-16
1457601098 Stephen Patrick Kelly Mechanotherapist 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 2012-09-11
1558504258 Stephen Michael Kelly Emergency Medicine 333 Grand St, Ed - Jersey City Medical Center, Jersey City, NJ 07302-4319 2009-04-09
1245367663 Stephen Michael Kelly Internal Medicine 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 2007-02-27
1770652349 Stephen Michael Kelly Optometrist 851 Cherry Ave, Bayhill Center #25, San Bruno, CA 94066-2900 2006-11-07
1699722504 Stephen Kelly Physical Therapist 80 Mill St, 1, Newton, NJ 07860-1411 2006-05-27
1689678518 Stephen Kelly Chiropractor 403 S 3rd St, Youngwood, PA 15697-1154 2005-06-09
1457876310 Stephen Michael Kelly Registered Nurse 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 2017-08-11
1023321304 Stephen Michael Kelly Nurse Anesthetist, Certified Registered 2021 Perdido St, New Orleans, LA 70112-1352 2010-07-15

Office Location

Street Address 900 11TH ST SE
City BANDON
State OR
Zip Code 97411-9114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588684484 Southern Coos Health District General Acute Care Hospital 900 11th St Se, Bandon, OR 97411-9114 2006-07-20
1417094145 Southern Coos Health District General Acute Care Hospital 900 11th St Se, Bandon, OR 97411-9114 2007-01-31
1760552483 Mark Andreas Pasternak Family Medicine 900 11th St Se, Bandon, OR 97411-9114 2006-11-09
1891705299 Kenneth Robert Bates Hospitalist 900 11th St Se, Bandon, OR 97411-9114 2006-08-08
1184632366 Megan M Holland Family Medicine 900 11th St Se, Bandon, OR 97411-9114 2006-08-04
1821012758 Kathleen Marie Kelly Nurse Anesthetist, Certified Registered 900 11th St Se, Bandon, OR 97411-9114 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851756340 Carl John Moehring Internal Medicine 2840 Beach Loop Dr. Sw, Bandon, OR 97411 2015-12-28
1841692969 Bandon Senior Living LLC Assisted Living Facility 1000 6th Ave West, Bandon, OR 97411 2014-09-19
1962824821 Oregon Retina, LLP Ophthalmology 1095 Alabama Street, Bandon, OR 97411 2014-01-13
1063756401 Bandon Coastal Dental, LLC Clinic/Center 1097 Baltimore Ave, Bandon, OR 97411 2012-11-26
1114205028 James Ryan Surface Dentist 1275 Oregon Ave., Bandon, OR 97411 2011-07-26
1790083509 William M. Soper, Dds Preferred Provider Organization 1275 Oregon Ave, Bandon, OR 97411 2011-03-02
1285860635 Sharen C. Strong Dentist 155 Delaware Ave, Bandon, OR 97411 2009-05-29
1518158500 Coos Eye Centers, Inc. Optometrist 1095 Alabama Avenue, Bandon, OR 97411 2007-08-06
1043432040 Michael Brent Currie Chiropractor 55416 Melton Road, Bandon, OR 97411 2007-05-02
1619098167 Susan Lynn Dimock Social Worker 1212 Alabama St, Suite 27, Bandon, OR 97411 2007-04-03
Find all providers in zip 97411

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821012758 Kathleen Marie Kelly Nurse Anesthetist, Certified Registered 900 11th St Se, Bandon, OR 97411-9114 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285275495 Sunstone Anesthesia, LLC Nurse Anesthetist, Certified Registered 12538 Sw 134th Ave, Tigard, OR 97223-4721 2019-09-30
1487158390 Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 2018-03-23
1710400254 Juniper Anesthesia, Inc. Nurse Anesthetist, Certified Registered 1835 Nw Pence Ln, Bend, OR 97703-1551 2017-07-17
1174053334 Kristen M Engstrom Crna LLC Nurse Anesthetist, Certified Registered 658 N Main St, Ashland, OR 97520-1710 2017-06-19
1154876183 Cameron Mcguire Nurse Anesthetist, Certified Registered 930 9th Ave Sw, Albany, OR 97321-2419 2016-08-19
1891148094 Stefany Mcmullen Nurse Anesthetist, Certified Registered 5230 Eola Dr Nw, Salem, OR 97304-3355 2016-07-22
1538537121 Khia Gilbert Nurse Anesthetist, Certified Registered 14415 Se 119th Ave, Clackamas, OR 97015-7217 2015-09-13
1831567551 Highlands Anesthesia, PC Nurse Anesthetist, Certified Registered 17158 Caddis Ct, Sisters, OR 97759-9826 2015-09-11
1518352350 Jeremy Daniel Noel Nurse Anesthetist, Certified Registered 39609 Wall St, Sandy, OR 97055-5394 2015-03-30
1942695770 10th Planet LLC Nurse Anesthetist, Certified Registered 2125 Se Oak St, Portland, OR 97214-1606 2015-03-30
Find all providers with the same taxonomy

Competitor

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City BANDON
Zip Code 97411

Improve Information

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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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