KELLY A. MASON


Address: 1204 W Main St, Charlottesville, VA 22908-2824
Phone: 4349240123

KELLY A. MASON (NPI# 1699092296) 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) 1699092296
Entity Type Individual
Full Name KELLY A. MASON
Credential M.D.
Practice Address 1204 W Main St
Charlottesville
VA 22908-2824
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349240123
Practice Fax Number 4342433300
Enumeration Date 2010-04-23
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
0101260578 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
629 Cedar Creek Grade Ste B, Winchester, VA 226012786 5406783950 5406783954

Other Providers KELLY MASON

NPI Name Taxonomy Address Enumeration
1306476528 Kelly Mason Counselor 313 W Liberty St Ste 124, Lancaster, PA 17603-2766 2020-01-16
1477951838 Kelly Mckinney Mason Physical Therapist 13808 Wild Turkey Pass, Austin, TX 78734-3336 2014-12-16
1538462270 Kelly Jean Mason Specialist/Technologist 6 1/2 Beech St, East Millinocket, ME 04430-1152 2010-12-20
1255456919 Kelly Mason Specialist 280 Vine St, Seaman, OH 45679-9702 2007-03-20
1992868806 Kelly Murphy Mason Social Worker 315 E 90th St, #3e, New York, NY 10128-5269 2006-12-19
1003848979 Kelly Mason Family Medicine 1701 Baldwin Ave Ste 102, Pontiac, MI 48340-1168 2006-07-07
1003807926 Kelly Ann Mason Speech-Language Pathologist 877 Ygnacio Valley Rd, Walnut Creek, CA 94596-3878 2005-10-31
1780284430 Kelly Marie Mason Nurse Anesthetist, Certified Registered 2600 6th St Sw, Canton, OH 44710-1702 2020-10-30
1174095012 Kelly Mason Occupational Therapist 2832 E Flamingo Rd, Las Vegas, NV 89121-5205 2018-12-17
1457840522 Kelly Mason Physical Therapy Assistant 401 Monticello Ave, Lynchburg, VA 24501-5617 2018-05-04

Office Location

Street Address 1204 W MAIN ST
City CHARLOTTESVILLE
State VA
Zip Code 22908-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811980287 Ann Lenox Kellams Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2005-08-31
1982210357 Olivia Oriana Obertello Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-21
1417563180 Caitlin E Anderson Psychologist 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-18
1821611286 Mackenzie Trapp Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2020-05-20
1740836287 Sarah Burnett Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2019-08-12
1609439207 Meredith Jordan Student in an Organized Health Care Education/Training Program 1204 W Main St, Charlottesville, VA 22903-2824 2019-04-18
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1275017147 Haley F. Stephens Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2018-09-18
1114414919 Shelley Towner Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2018-04-17
1891291944 Elina Bank Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1649702317 Ryan Aschenbrener Student in an Organized Health Care Education/Training Program 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 2017-03-31
1215399241 Katherine Gresham Belote Student in an Organized Health Care Education/Training Program 1221 Lee Street Uva Health System, Charlottesville, VA 22908 2016-03-29
1851776215 Catherine Meller Student in an Organized Health Care Education/Training Program 1215 Lee St., Box 800713, Charlottesville, VA 22908 2015-07-28
1295112597 Breanna Campbell Internal Medicine 1220 Lee St Ste 2401, Charlottesville, VA 22908 2015-05-06
1013255637 Melinda Bowles-childress Nurse Practitioner 1 Hospital Dr Fl 1, Charlottesville, VA 22908 2013-01-17
1053521757 Univeristy of Virginia Health System General Acute Care Hospital University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 2007-05-23
1730241282 Imre Noth Internal Medicine 1221 Lee St Fl 2, Charlottesville, VA 22908 2006-12-14
1023185394 Tamer Ghanem Otolaryngology Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 2006-11-29
1366401242 Lisa M Christianson Obstetrics & Gynecology Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 2006-03-21
Find all providers in zip 22908

Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326363110 Melissa J. Schoelwer Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2010-04-05
1306000997 Christine M. Burt Solorzano Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2008-07-14
1730100868 Mark D Deboer Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-07-22
1861420986 David R. Repaske Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740337690 Bryce Allen Nelson Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2007-01-04
1568427565 Craig Rudlin Pediatrics 4600 Grove Ave, Richmond, VA 23226-1301 2006-04-20
1720475296 Hussein Elmufti Pediatrics 102 Highland Ave Se Ste 455, Roanoke, VA 24013 2015-04-22
1902246481 Ladan Davallow Ghajar Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2013-06-28
1902171093 Nicole Lynn Nejedly Pediatrics 601 Childrens Ln, Norfolk, VA 23507-1910 2012-03-21
1013217207 Mary Elizabeth Watson Pediatrics 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Dept. of Pediatrics, Portsmouth, VA 23708-2197 2010-10-22
1023332947 Lindsey Waldman Pediatrics 3023 Hamaker Ct, Fairfax, VA 22031-2207 2010-03-22
1447491824 Shadi Tabba Pediatrics 171 Elden St, Suite 2c4, Herndon, VA 20170-4875 2009-03-16
1780832980 Arti P. Shah Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2008-09-03
1871755348 Otilia Neacsu Pediatrics 8505 Arlington Blvd, Suite 100, Fairfax, VA 22031-4621 2008-06-26
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Competitor

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City CHARLOTTESVILLE
Zip Code 22908

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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