ANTHONY KELTY (NPI# 1811170939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811170939 |
| Entity Type | Individual |
| Full Name | ANTHONY KELTY |
| Practice Address |
3101 Breckenridge Ln Suite 1a Louisville KY 40220-2742 |
| Practice Telephone | 5024587400 |
| Practice Fax Number | 5024587449 |
| Mailing Telephone | 5024587400 |
| Mailing Fax Number | 5024587449 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2010-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1088901 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 50018644 | 01 |
| KY | 7100110180 | 05 | |
| KY | BLUE SHIELD | 000000547672 | 01 |
| KY | PASSPORT ADVANTAGE | 3503755000 | 01 |
| Street Address |
3101 BRECKENRIDGE LN SUITE 1A |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312066 | Richard A Pape | Dentist | 3101 Breckenridge Ln, Ste 2d, Louisville, KY 40220-2742 | 2005-08-02 |
| 1770728131 | Sonya C Worthington | Nurse Anesthetist, Certified Registered | 3101 Breckenridge Ln, Suite 1a, Louisville, KY 40220-2793 | 2008-12-12 |
| 1790805562 | Mark A Blair | Dentist | 3101 Breckenridge Ln, 1-d, Louisville, KY 40220-2742 | 2007-03-29 |
| 1043336936 | Hershel Weinberg | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-22 |
| 1841315207 | Paul E King, Dmd, Pllc | Clinic/Center | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-21 |
| 1598898413 | Jennifer Lynn Wright | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-13 |
| 1265567572 | Louisville Internal Medicine & Pediatrics, LLC | Pediatrics | 3101 Breckenridge Ln, #4e, Louisville, KY 40220-2742 | 2007-02-23 |
| 1134288434 | Myron F Shuster, Dmd | Dentist | 3101 Breckenridge Ln, Suite 4b, Louisville, KY 40220-2742 | 2006-12-06 |
| 1679640114 | Myron F Shuster | Dentist | 3101 Breckenridge Ln, Suite 4b, Louisville, KY 40220-2742 | 2006-11-29 |
| 1992874028 | Phillip Gordon Mcintosh Jr. | Dentist | 3101 Breckenridge Ln, 1e, Louisville, KY 40220 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528533031 | Katherine Berning | Nurse Anesthetist, Certified Registered | 3022 Eagle Pass, Louisville, KY 40217-1727 | 2018-10-11 |
| 1326559733 | Morgan Ann Baumgartle | Nurse Anesthetist, Certified Registered | Norton Children's Hospital 231 E. Chestnut St, Louisville, KY 40202 | 2017-10-12 |
| 1225385909 | Exacta Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 8809 Linn Station Rd, Louisville, KY 40222-5658 | 2012-08-13 |
| 1740543990 | Tiva Oba, L.L.C. | Nurse Anesthetist, Certified Registered | 4729 Razor Creek Way, Louisville, KY 40299-5533 | 2012-06-22 |
| 1124338579 | Kenneth Eugene Doyon | Nurse Anesthetist, Certified Registered | 601 S Floyd St Ste 407, Louisville, KY 40202-1837 | 2010-10-19 |
| 1508176058 | Jaclyn M Johanboeke | Nurse Anesthetist, Certified Registered | 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 | 2010-10-18 |
| 1487889143 | Sleep Ez Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 10301 Champion Farms Dr, Louisville, KY 40241-6129 | 2009-05-26 |
| 1700062726 | Jake Chris Chang | Nurse Anesthetist, Certified Registered | 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 | 2008-01-22 |
| 1205984366 | Stanley Ansel Kristiansen | Nurse Anesthetist, Certified Registered | 1702 Trevilian Way, Louisville, KY 40205-2057 | 2007-01-08 |
| 1841358355 | Michael Dewayne Hart | Nurse Anesthetist, Certified Registered | 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 | 2006-12-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
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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.