WILLIAM R KELLEY JR. (NPI# 1780666560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780666560 |
| Entity Type | Individual |
| Full Name | WILLIAM R KELLEY JR. |
| Credential | MD |
| Practice Address |
1401 Bailey Ave Dept of Radiology Needles CA 92363-3103 |
| Mailing Address |
4825 Hwy 95 Fort Mohave AZ 86426-8315 |
| Practice Telephone | 7603267225 |
| Practice Fax Number | 7603268867 |
| Mailing Telephone | 7603267225 |
| Mailing Fax Number | 7603268867 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27770 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C51795 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C517950 | 05 | |
| AZ | 914673 | 05 | |
| NV | 100505339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831542836 | William Kelley | Physical Therapist | 3100 Naomi St, Miami, FL 33133-4510 | 2016-07-14 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1750436713 | William Duane Kelley Jr. | Chiropractor | 100 Mclay Dr, Elizabeth, PA 15037-2362 | 2007-01-23 |
| 1285782532 | William Kelley | Physician Assistant | 1164 Andrews Rd, Murphy, NC 28906-2898 | 2007-01-05 |
| 1043373384 | William Scott Kelley | Podiatrist | 35 S Spruce St Fl 1, Ramsey, NJ 07446-2549 | 2006-12-18 |
| 1891708897 | William Joseph Kelley | Plastic Surgery | 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 | 2006-08-14 |
| 1962425215 | William M Kelley | Dentist | 780 E Romie Ln Ste F, Salinas, CA 93901-4223 | 2006-07-26 |
| 1376561647 | William H. Kelley | Family Medicine | 7069 Us Highway 67 E, Maud, TX 75567-4583 | 2006-07-17 |
| 1932145976 | William Joseph Kelley | Internal Medicine | 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 | 2006-06-20 |
| 1770555401 | William Bernard Kelley | Specialist | 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 | 2006-02-06 |
| Street Address |
1401 BAILEY AVE DEPT OF RADIOLOGY |
| City | NEEDLES |
| State | CA |
| Zip Code | 92363-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033587308 | Tristate Ambulatory Surgery Center | Clinic/Center | 1401 Bailey Ave, Building A, Needles, CA 92363-3103 | 2015-09-03 |
| 1063819019 | Community Healthcare Partner, Inc. | Skilled Nursing Facility | 1401 Bailey Ave, Needles, CA 92363-3103 | 2014-11-19 |
| 1922415538 | Community Healthcare Partner, Inc. | Registered Nurse | 1401 Bailey Ave, Building A, Needles, CA 92363-3103 | 2014-07-15 |
| 1073752861 | Gilbert Almaraz Md Inc | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2009-02-18 |
| 1588714190 | Principal-needles Inc | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2007-01-12 |
| 1568533388 | River View Emergency Physicians | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-11-13 |
| 1942383393 | Wantzy Cooper | Emergency Medicine | 1401 Bailey Ave, Bldg 1, Needles, CA 92363-3103 | 2006-10-21 |
| 1043305840 | Principal-needles Inc | General Acute Care Hospital | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-10-04 |
| 1578512711 | Premier Emergency Physicians of California PC | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-05-06 |
| 1104894336 | Brad Clayton Barth | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1457520942 | Community Healthcare Partner, Inc | Emergency Medicine | 1401 Bailey Avenue, Needles, CA 92363 | 2008-02-28 |
| 1457478075 | Lake Havasu Fire District | Ambulance | 148808 Havasu Lake Rd, Lake Havasu, CA 92363 | 2007-03-26 |
| 1871070672 | David Rubio | Counselor | 1600 Bailey Ave Ste 2, Needles, CA 92363 | 2018-07-24 |
| 1205035862 | Donald Anderson | Counselor | 640 California Ave, Needles, CA 92363-2115 | 2007-07-13 |
| 1578642815 | Jerry Neil South | Chiropractor | 1400 Needles Hwy, Ste. 105, Needles, CA 92363-2364 | 2006-11-06 |
| 1437145299 | Willow Valley Pharmacy, Inc., Dba | Pharmacy | 1101 W Broadway St, Needles, CA 92363-2704 | 2005-09-26 |
| 1417426578 | Needles Hospice, Inc. | Hospice Care, Community Based | 813 W Broadway St Unit B, Needles, CA 92363-2727 | 2018-11-19 |
| 1598397960 | Billet Adhc Inc Needles | Clinic/Center | 901 Front St, Needles, CA 92363-2739 | 2020-02-04 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| Find all providers in zip 92363 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336526086 | Community Healthcare Partner, Inc | Radiology | 1401 Bailey Avenue, Needles, CA 92363-3103 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.