JOHN J KELLY (NPI# 1629530712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629530712 |
| Entity Type | Individual |
| Full Name | JOHN J KELLY |
| Credential | MD |
| Practice Address |
579 W Moorwood St Green Valley AZ 85614-5980 |
| Practice Telephone | 4147379122 |
| Mailing Telephone | 4147379122 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
25987 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
25987 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| 1164758892 | John Thomas Kelly | General Practice | 2105 Interlacken Dr, Springfield, IL 62704 | 2009-10-31 |
| Street Address |
579 W MOORWOOD ST |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662939 | Duane Martin | Otolaryngology | 1089 S Justine Ct, Gilbert, AZ 85296-8653 | 2014-01-15 |
| 1881038966 | Sidney Jonathan Starkman | Otolaryngology | 8560 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6679 | 2013-04-19 |
| 1396097580 | About Face- Ear Nose & Throat Facial Plastic Surgery PC | Otolaryngology | 9767 N 91st St # B102, Scottsdale, AZ 85258-5086 | 2012-10-11 |
| 1528356284 | Michael Rodriguez | Otolaryngology | 20325 N 51st Ave Ste 154, Glendale, AZ 85308-4622 | 2011-07-15 |
| 1437387883 | Luis Vazquez | Otolaryngology | 2340 E Beardsley Rd, Suite 260, Phoenix, AZ 85024-1285 | 2009-06-24 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1427023456 | James John Bouzoukis | Otolaryngology | 9155 E Bell Rd, Scottsdale, AZ 85260 | 2006-02-22 |
| 1477553543 | Richard Lefroy Bailey | Otolaryngology | 3750 Hwy 95, Suite 101, Bullhead City, AZ 86442-6050 | 2005-07-29 |
| 1972915403 | Jonnae Y Ostrom | Otolaryngology | 2121 N Craycroft Rd Bldg 5, Tucson, AZ 85712-2801 | 2014-06-02 |
| 1558618645 | Pamela S. Henderson, M.d., P.C. | Otolaryngology | 7425 E Shea Blvd Ste 105, Scottsdale, AZ 85260-6411 | 2012-08-08 |
| Find all providers with the same taxonomy | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
Please comment or provide details below to improve the information on JOHN J 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.