RALPH MICHAEL KELLY (NPI# 1578518817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578518817 |
| Entity Type | Individual |
| Full Name | RALPH MICHAEL KELLY |
| Credential | M.D. |
| Practice Address |
2205 Jolly Rd Ste B Okemos MI 48864-3983 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 5173474085 |
| Practice Fax Number | 5173474170 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301037517 | MI | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
4301037517 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS/BCN | 1103303981 | 01 |
| MI | PHP | 76-00059 | 01 |
| MI | PHP | 04-00140 | 01 |
| MI | PHYSICIANS HEALTH PLAN | 200000002216 | 01 |
| MI | AETNA | 5685669 | 01 |
| MI | RAILROAD MEDICARE | P00142308 | 01 |
| MI | 4848060 | 05 | |
| MI | MCLAREN HEALTH PLAN | 1015806 | 01 |
| MI | PHP FAMILYCARE | 76-70048 | 01 |
| MI | 4617125 | 05 | |
| MI | PHP FAMILYCARE | 04-70140 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1015806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336253707 | Ralph Whitley Kelly | Emergency Medicine | 7 Medical Pkwy, Dallas, TX 75234-7823 | 2006-08-19 |
| Street Address |
2205 JOLLY RD STE B |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245298603 | George D Horn | Family Medicine | 2205 Jolly Rd, Ste A, Okemos, MI 48864 | 2006-05-03 |
| 1821318981 | Kelli Ann Miller | Nurse Practitioner | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2010-06-10 |
| 1730338393 | Matthew Michael Mcdonell | Nurse Practitioner | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2008-09-18 |
| 1952578056 | Prashanti Bachu Franklin | Family Medicine | 2205 Jolly Rd, B, Okemos, MI 48864-3983 | 2008-05-08 |
| 1023217437 | Cassandra Wormack | Family Medicine | 2205 Jolly Rd, Ste. B, Okemos, MI 48864-3983 | 2007-07-16 |
| 1093867046 | Pauline Chiu | Family Medicine | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2007-01-18 |
| 1972687978 | Amy H Oldejans | Nurse Practitioner | 2205 Jolly Rd, Ste B, Okemos, MI 48864-3983 | 2006-10-25 |
| 1972517845 | Vpa PC | Internal Medicine | 2205 Jolly Rd, Okemos, MI 48864-3983 | 2006-07-28 |
| 1457308330 | Joseph Armovit | Family Medicine | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2006-05-27 |
| 1518918465 | Family Nurse Care II, LLC | Home Health | 2205 Jolly Rd, Ste D, Okemos, MI 48864-3983 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093046427 | Fedon Mavromatis | Internal Medicine | 4359 Wausau Rd, Okemos, MI 48864-2768 | 2010-01-25 |
| 1265660336 | Robert Henry Digby | Internal Medicine | 4125 Naubinway Rd, Okemos, MI 48864-3424 | 2009-06-29 |
| 1972764520 | Srijana Pradhan Pandit | Internal Medicine | 1669 Hamilton Rd Ste 220, Okemos, MI 48864-1960 | 2008-06-17 |
| 1245457605 | Susan Marie Murray | Internal Medicine | 3841 Pine Knoll Dr, Okemos, MI 48864-3735 | 2007-04-19 |
| 1518002120 | John Franklin Strandmark | Internal Medicine | 2248 Mt Hope Rd, #110, Okemos, MI 48864-2570 | 2007-02-21 |
| 1689649527 | Ibrahim Shah | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-02-22 |
| 1205100070 | Muhammad Awais Kang | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864 | 2012-02-26 |
| 1760713861 | John F. Strandmark Md Pllc | Internal Medicine | 2248 Mount Hope Rd, Suite 110, Okemos, MI 48864-2501 | 2010-01-29 |
| 1730344029 | Purvaj Mahendra Patel | Internal Medicine | 2205 Jolly Rd Ste B, Okemos, MI 48864-3983 | 2008-07-25 |
| 1972517845 | Vpa PC | Internal Medicine | 2205 Jolly Rd, Okemos, MI 48864-3983 | 2006-07-28 |
| Find all providers in OKEMOS | ||||
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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.