DR. RUSSELL F KELLY (NPI# 1841219789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841219789 |
Entity Type | Individual |
Full Name | DR. RUSSELL F KELLY |
Credential | MD |
Practice Address |
6701 Airport Blvd Ste C138 Mobile AL 36608-3784 |
Mailing Address |
126 Medical Dr Palestine TX 75801-8506 |
Practice Telephone | 2513333333 |
Practice Fax Number | 2514104444 |
Mailing Telephone | 9037310509 |
Mailing Fax Number | 9037233064 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R1973 | TX | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-082186 | IL | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
36353 | AL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1901 W Harrison St, Room 3620, Chicago, IL 606123714 | 3128643034 | 3128649349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787729 | Russell S Kelly | Internal Medicine | 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 | 2005-08-10 |
1285882977 | Russell A. Kelly | Dentist | 951 N Tustin St, Orange, CA 92867-5902 | 2008-09-05 |
1346430428 | Russell James Kelly | Specialist/Technologist | 550 S College Ave, Newark, DE 19713-1302 | 2007-07-26 |
1043316532 | Russell Aaron Kelly | Physician Assistant | 103 Myron St, Suite A, West Springfield, MA 01089-1598 | 2006-09-15 |
Street Address |
6701 AIRPORT BLVD STE C138 |
City | MOBILE |
State | AL |
Zip Code | 36608-3784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083892285 | Darryl Steven Morin | Internal Medicine | 6701 Airport Blvd Ste C138, Mobile, AL 36608-3784 | 2008-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
Find all providers in zip 36608 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
1831344217 | Dennis Raymond Thomas | Internal Medicine | 3101 Riviere Du Chien Loop E, Mobile, AL 36693-5408 | 2008-11-26 |
1164462321 | Kenneth M Burnham | Internal Medicine | 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 | 2006-06-07 |
1023057197 | William James Hayes | Internal Medicine | 6600 Wall St, Mobile, AL 36695-4512 | 2006-06-05 |
1891742821 | Stephanie Diane Grosz | Internal Medicine | 600 Providence Park Dr E, Mobile, AL 36695-4616 | 2006-05-27 |
1730132556 | Mina Ayad Jacob | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2006-05-19 |
1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
1073973160 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Bldg. C, Mobile, AL 36617-2238 | 2016-03-02 |
1124385927 | Chad Warren Mcree | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-04-18 |
1871869990 | Jordan Michael Chaisson | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-03-23 |
Find all providers in MOBILE |
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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.