JASON KELLY (NPI# 1598050544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598050544 |
| Entity Type | Individual |
| Full Name | JASON KELLY |
| Credential | MD |
| Practice Address |
9000 Bailey Cove Rd Se Huntsville AL 35802-4002 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2564284900 |
| Practice Fax Number | 2564284912 |
| Mailing Telephone | 2568016048 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33261 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 193074 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644251 | Jason Kelly | Spec/Tech, Cardiovascular | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-16 |
| 1861034571 | Jason Lee Kelly | Pharmacist | 100 Walmart Dr, Kingwood, WV 26537-1143 | 2019-10-14 |
| 1811452378 | Jason P Kelly | Massage Therapist | 709 N Main St, North Syracuse, NY 13212-1669 | 2019-02-08 |
| 1669785556 | Jason Kelly | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-07-20 |
| 1538399738 | Jason Stuart Kelly | Anesthesiology | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-07-22 |
| 1346442159 | Jason Matthew Kelly | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2007-06-04 |
| 1033277876 | Jason Alexander Kelly | Family Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-12-05 |
| 1063590859 | Jason F. Kelly | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1073543831 | Jason Kelly | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-07-04 |
| 1659324473 | Jason Kelly | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2006-05-19 |
| Street Address |
9000 BAILEY COVE RD SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023104320 | Julia Ann Fowler | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2006-10-05 |
| 1689159212 | Brandi Rene Harbin | Nurse Practitioner | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2018-09-28 |
| 1811383128 | Delmy Yamileth Caton | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2015-04-13 |
| 1235434077 | Healthcare Authority of The City of Huntsville | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2011-01-25 |
| 1477797025 | Jennifer Baldridge Sholes | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2009-04-27 |
| 1427211549 | Harold Andrew Williams | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2008-07-09 |
| 1851565113 | Bailey Cove Family Physicians | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2008-04-17 |
| 1881809523 | Joan W Williamson | Nurse Practitioner | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2007-05-14 |
| 1821161696 | Tatjana Larissa Acker | Physician Assistant | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2006-11-17 |
| 1487738894 | Robert Bruce Marlow | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| 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 |
|---|---|---|---|---|
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1780237412 | Inomedic Health Applications, Inc. | Family Medicine | Nasa/ Msfc Medical Center, As10, Bldg 4249, Huntsville, AL 35812 | 2019-07-22 |
| 1982126587 | Happi Health | Family Medicine | 2597 Sparkman Dr Nw, Huntsville, AL 35810-3868 | 2017-07-14 |
| 1619499209 | Happi Health | Family Medicine | 4040 Memorial Pkwy Sw Ste K, Huntsville, AL 35802-4364 | 2017-07-14 |
| 1760916282 | Daniel Englert | Family Medicine | 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 | 2017-04-12 |
| 1891242962 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 35, Huntsville, AL 35816 | 2016-09-07 |
| 1396291027 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 18, Huntsville, AL 35816 | 2016-09-01 |
| 1396192423 | Jacob Wilson | Family Medicine | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2016-05-18 |
| 1386006112 | Jenna Okerblom | Family Medicine | 100 Washington St Ne Ste 102, Huntsville, AL 35801-5052 | 2016-03-22 |
| 1811337942 | Richard Edwin Rice | Family Medicine | 1409 Deborah Dr Se, Huntsville, AL 35801-1493 | 2013-07-03 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on JASON 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.