DR. TARA LYNN KELLY (NPI# 1790135903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790135903 |
| Entity Type | Individual |
| Full Name | DR. TARA LYNN KELLY |
| Credential | M.D. |
| Practice Address |
169 Ashley Ave Room 202 Main Hospital Msc333 Charleston SC 29425-8905 |
| Mailing Address |
169 Ashley Ave Charleston SC 29425-8905 |
| Practice Telephone | 8437922322 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 39752 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144623844 | Tara Marie Kelly | Speech-Language Pathologist | 520 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-08 |
| 1073809992 | Tara Kelly | Counselor | 309 S 7th St Ste A, Adel, IA 50003-1838 | 2011-06-20 |
| 1902411655 | Tara Kelly | Counselor | 548 S 17th St, Harrisburg, PA 17104-2223 | 2020-09-10 |
| 1487272449 | Tara Kelly | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2020-07-07 |
| 1770909855 | Tara K. Kelly | Specialist/Technologist | 1605 W Main St, Norristown, PA 19403-3229 | 2014-03-12 |
| 1346505930 | Tara Lynn Kelly | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2012-07-10 |
| 1326300070 | Tara Kelly | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-08 |
| 1558650416 | Tara Leigh Kelly | Student in an Organized Health Care Education/Training Program | 350 E 17th St, 20th Floor, Baird Hall, New York, NY 10003-3805 | 2011-03-31 |
| 1396995163 | Tara M Kelly | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-09-29 |
| 1376689547 | Tara Kelly | Nurse Practitioner | 3220 S Douglas Rd Ste B, Miramar, FL 33025-2734 | 2007-01-29 |
| Street Address |
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683621 | Henry R Smith Jr. | Pharmacist | 169 Ashley Ave, Room 149 Musc, Charleston, SC 29403-5836 | 2005-10-14 |
| 1700490794 | Ryan Zachery Stone | Physician Assistant | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-09-07 |
| 1659997187 | Baxter Timmons Williams | Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-20 |
| 1295351195 | Margaret Lee Ferrell | Dentist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-17 |
| 1518582469 | Afifah Khan | Internal Medicine | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-16 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1083239677 | Chelsea Danielle Eason | Dermatology | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-10 |
| 1922623503 | John Matti Sippola Thiele | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-10 |
| 1457976243 | Lauren Knightly | Obstetrics & Gynecology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-08 |
| 1801410824 | Allison Kuipers | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240897 | Alexander Hayes Meinzer | Anesthesiology | 167 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-18 |
| 1366000457 | Stephen Paul Eason | Anesthesiology | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 333, Charleston, SC 29425-0001 | 2019-06-03 |
| 1740719889 | Mark Abumoussa | Anesthesiology | Musc Anesthesia & Perioperative Medicine 167, Charleston, SC 29425-0001 | 2017-06-11 |
| 1770036410 | Devin Antonovich | Anesthesiology | 96 Johnathan Lucas St., Charleston, SC 29425 | 2016-07-29 |
| 1205287786 | Martha Anne Deberry King | Anesthesiology | 1514 Gardenia Rd, Charleston, SC 29407-5212 | 2016-06-27 |
| 1144630286 | Joseph Anwar Abro | Anesthesiology | 169 Ashley Avenue Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2014-04-29 |
| 1164785077 | Dale Scott Carter | Anesthesiology | 167 Ashley Ave Ste 308, Msc 912, Charleston, SC 29425-9120 | 2012-06-18 |
| 1093043192 | Michale Jill Barber | Anesthesiology | 211 King St, Suite 310, Charleston, SC 29401-3128 | 2009-12-01 |
| 1740423904 | Maria Yared | Anesthesiology | 167 Ashley Ave Ste 301, Msc 912, Charleston, SC 29425-8905 | 2009-04-16 |
| 1487808846 | Carlee Clark | Anesthesiology | 17 Ashley Ave, Charleston, SC 29425-0001 | 2008-11-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.