MRS. KELLY FISCHER CELEK (NPI# 1780114710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780114710 |
| Entity Type | Individual |
| Full Name | MRS. KELLY FISCHER CELEK |
| Other Name | MS. KELLY LYNN FISCHER |
| Credential | PA-C |
| Practice Address |
316 Calhoun Street Charleston SC 29401-1113 |
| Mailing Address |
Po Box 601495 Charlotte NC 28260-1495 |
| Practice Telephone | 8437242010 |
| Practice Fax Number | 8437242005 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242454 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2770 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | SC | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3071PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9300 Medical Plaza Drive, Suite B, North Charleston, SC 29406 | 8437641730 | 8437641731 |
| Street Address |
316 CALHOUN STREET |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111691 | Amy Mcalpine Deaton | Radiology | 316 Calhoun Street, Charleston, SC 29401 | 2005-11-18 |
| 1912556028 | Jennifer N. Sobers | Nurse Practitioner | 316 Calhoun Street, Charleston, SC 29401-1113 | 2019-09-11 |
| 1568903391 | Heather Nicole Maffeo | Specialist/Technologist | 316 Calhoun Street, Charleston, SC 29401-1113 | 2017-03-13 |
| 1073951463 | Thomas Adam Criswell | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2013-06-07 |
| 1902241144 | Brian Lloyd Bauerband | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2013-05-01 |
| 1427345016 | Cortney S Draper | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2011-07-01 |
| 1508094103 | Jason Andrew Curry | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2009-06-23 |
| 1295961332 | Wade Dehnkamp | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2009-06-03 |
| 1952440315 | Michael Thomas Dorrity | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401-1113 | 2007-02-05 |
| 1821005075 | Christopher B Moe | Emergency Medicine | 316 Calhoun Street, Charleston, SC 29401 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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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.