DR. CHARLES A. KELLY (NPI# 1760402473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760402473 |
Entity Type | Individual |
Full Name | DR. CHARLES A. KELLY |
Credential | M.D. |
Practice Address |
913 Bowman Rd # B Mt Pleasant SC 29464-3235 |
Mailing Address |
913b Bowman Rd Mt Pleasant SC 29464 |
Practice Telephone | 8438569530 |
Practice Fax Number | 8439711345 |
Mailing Telephone | 8438569530 |
Mailing Fax Number | 8439711345 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2011-05-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TL30526 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366765661 | Charles Christopher Kelly | Massage Therapist | 124 Arborgate Cir, Columbia, SC 29212-2465 | 2010-03-01 |
1730123639 | Charles E Kelly | Specialist | 3050 Centre Pointe Drive, Suite 200, Roseville, MN 55113 | 2006-06-15 |
1780678979 | Charles E Kelly II | Specialist | 2839 Hwy 231 North, Suite 208a, Shelbyville, TN 37160-7449 | 2005-09-02 |
1922588292 | Charles Kelly | Physical Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681 | 2018-08-16 |
1093247447 | Charles Michael Kelly II | Family Medicine | 210 9th St Se, Rochester, MN 55904-6756 | 2017-04-03 |
1508013103 | Charles J Kelly | Counselor | 21 Franciscan Way, Garrison, NY 10524-0150 | 2008-08-26 |
1518025683 | Charles L Kelly | Social Worker | 40 Industrial Park Rd, Department of Mental Health, Plymouth, MA 02360-4884 | 2006-12-04 |
1447367461 | Charles Francis Kelly | Chiropractor | 36410 Garfield, Clinton Township, MI 48035-1131 | 2006-08-24 |
1528009800 | Charles Michael Kelly | Orthopaedic Surgery | 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372 | 2006-06-09 |
1083674352 | Charles A Kelly | Anesthesiology | 40 Second Ave, Waltham, MA 02451 | 2006-03-23 |
Street Address |
913 BOWMAN RD # B |
City | MT PLEASANT |
State | SC |
Zip Code | 29464-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407806706 | Angela F Finlayson | Nurse Practitioner | 913 Bowman Rd # B, Mt Pleasant, SC 29464-3235 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174594345 | Consultants In Neurology, Sc | Psychiatry & Neurology | 3805b Spring St Ste 250, Mt Pleasant, WI 53405-1643 | 2006-01-27 |
1730174566 | Barbara Sapeta Wojcik | Psychiatry & Neurology | 203 E 16th St, Mt Pleasant, TX 75455-2205 | 2005-09-19 |
1538596127 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2013-09-27 |
1285950790 | Cmc-northeast, Inc. | Psychiatry & Neurology | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2010-04-09 |
1821126525 | Saud Iqbal Khan | Psychiatry & Neurology | 2015 Mulberry Ave, Suite 210, Mt Pleasant, TX 75455-2312 | 2007-03-02 |
1225079171 | Pleasant Dreams Sleep Center LLC | Psychiatry & Neurology | 1205 S Mission St, Suite 24, Mt Pleasant, MI 48858-3939 | 2006-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
Find all providers with the same taxonomy |
City | MT PLEASANT |
Zip Code | 29464 |
Please comment or provide details below to improve the information on DR. CHARLES A. 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.