DR. STEVEN MICHAEL KELLY (NPI# 1841348240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841348240 |
Entity Type | Individual |
Full Name | DR. STEVEN MICHAEL KELLY |
Credential | M.D. |
Practice Address |
1551 Renaissance Towne Dr Suite 310 Bountiful UT 84010-7667 |
Mailing Address |
2255 N 1700 W Suite 200 Layton UT 84041-1140 |
Practice Telephone | 8012955581 |
Practice Fax Number | 8012959253 |
Mailing Telephone | 8017762180 |
Mailing Fax Number | 8017762534 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
182660-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 110583300 | 05 | |
ID | 003084400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
1932330693 | Steven Kelly | Social Worker | 151 S University Ave # 1400, Provo, UT 84601-4427 | 2009-07-29 |
1841753811 | Steven Joseph Kelly | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2019-04-08 |
1154809002 | Steven Ellsworth Kelly | Student in an Organized Health Care Education/Training Program | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2018-08-02 |
1548780588 | Steven Kelly | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2017-06-21 |
1649613860 | Steven Randall Kelly | Counselor | 8215 Westchester Dr, 240, Dallas, TX 75225-6103 | 2013-04-08 |
1528376506 | Steven James Kelly | Counselor | 147 S River St, Suite 204, Santa Cruz, CA 95060-4551 | 2010-09-23 |
1821178377 | Steven Michael Kelly | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-10-17 |
1831289149 | Steven Robert Kelly | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-10-15 |
1629086475 | Steven Mark Kelly | Surgery | 2600 6th St Sw, Aultman Hospital, Canton, OH 44710-1702 | 2006-08-04 |
Street Address |
1551 RENAISSANCE TOWNE DR SUITE 310 |
City | BOUNTIFUL |
State | UT |
Zip Code | 84010-7667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548261431 | Curtis Brian Jolley | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2005-08-02 |
1346776127 | Kelli R Loveland | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010 | 2017-05-11 |
1235505587 | Children's Dentistry | Dentist | 1551 Renaissance Towne Dr, Ste 540, Bountiful, UT 84010-7667 | 2015-08-20 |
1811370836 | Melanie Chamberlain | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2015-07-08 |
1306236492 | Jared J Tyson Md PC | Specialist | 1551 Renaissance Towne Dr, Suite 400, Bountiful, UT 84010-7667 | 2015-01-28 |
1033522933 | Jill Freitas Calderwood | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010-7667 | 2014-06-09 |
1326475831 | Michelle Horne | Specialist/Technologist | 1551 Renaissance Towne Dr, Suite 420, Bountiful, UT 84010-7667 | 2013-09-28 |
1194098020 | Jordan Scott Carver | Pharmacist | 1551 Renaissance Towne Dr, #104, Bountiful, UT 84010-7667 | 2012-02-23 |
1790066124 | Stuart Chase Sondrup | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2011-08-30 |
1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
Find all providers in zip 84010 |
Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063876100 | University of Utah Pediatric Services | Otolaryngology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
1285074617 | Melanie Duval | Otolaryngology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2013-06-29 |
1134355225 | Phillip Lee Chaffin Jr. | Otolaryngology | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2009-06-03 |
1477643070 | Johannes Fredrik Grimmer | Otolaryngology | 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 | 2006-10-13 |
1972693596 | Albert H. Park | Otolaryngology | 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 | 2006-10-13 |
1255421863 | Harlan Ray Muntz | Otolaryngology | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-10-13 |
1508875857 | University of Utah Otolaryngology Pediatrics | Otolaryngology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-08-05 |
1417986209 | University Ear Nose and Throat Associates | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-07-02 |
Please comment or provide details below to improve the information on DR. STEVEN MICHAEL KELLY.
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.