DR. JEREMY CHRISTOPHER KELLEY


Address: 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602
Phone: 2408475911

DR. JEREMY CHRISTOPHER KELLEY (NPI# 1841584794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841584794
Entity Type Individual
Full Name DR. JEREMY CHRISTOPHER KELLEY
Credential DO
Practice Address 1060 W Perimeter Rd
Jb Andrews
MD 20762-6602
Mailing Address 1060 W Perimeter Rd
Joint Base Andrews
MD 20762
Practice Telephone 2408475911
Practice Fax Number 2406122982
Enumeration Date 2011-06-07
Last Update Date 2018-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 01022303215 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1802 Braeburn Dr, Salem, VA 241537357 5407723671 5407255067

Other Providers JEREMY KELLEY

NPI Name Taxonomy Address Enumeration
1952557498 Jeremy Anderson Kelley Nurse Practitioner 701 University Blvd E, Suite 400, Tuscaloosa, AL 35401-2086 2008-08-15

Office Location

Street Address 1060 W PERIMETER RD
City JB ANDREWS
State MD
Zip Code 20762-6602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083214894 Richard Allen Ypina Jr. Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-30
1417554577 Meaghan Mccarthy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-01
1598384182 Brian Sanders Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-04-13
1770102667 Esther Solano Psychologist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-04-11
1386276558 Robert Wittwer Nurse Anesthetist, Certified Registered 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-02-06
1538790407 Staci Mcnair Nurse Practitioner 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-01-30
1700447182 Patricia Szmuc Pharmacist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-06-26
1447813175 Keara Washington Psychologist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-04-18
1871052126 Carmen Alexandra Maffucci Physician Assistant 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-03-17
1093213878 Timothy Michael Mcsheehy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2018-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982210423 Kevin Wang Dentist 1057 W Perimeter Rd, Prince County, MD 20762 2020-09-21
1306467667 Priscilla Andalia Student in an Organized Health Care Education/Training Program 1065 W. Perimeter Road, Jb Andrews, MD 20762 2020-04-28
1275162877 Gabi Im Dentist 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 2020-04-06
1083240139 Shirley Ye Student in an Organized Health Care Education/Training Program 1025 Boston Rd, Joint Base Andrews, MD 20762 2020-03-20
1255988853 Songxuan Zhou Niemtzow Acupuncturist Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 2019-08-20
1487010971 Tracy Ellen Ambos Social Worker 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 2016-01-13
1154718450 Ryan Mason Kring Emergency Medicine Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 2015-04-24
1518206044 Jeremy Gallman Veterinarian 1781 Arnold Ave., Joint Base Andrews, MD 20762 2013-02-04
1043556418 Kimberly Mccoy-singh Physical Therapist 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 2012-12-12
1417215799 Alexander Rostam Kheradi Emergency Medicine 1050 West Perimeter Road, Joint Base Andrews, MD 20762 2012-04-24
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902440076 Suburban Maryland Urology Associates LLC Urology 6001 Montrose Rd Ste 1040, Rockville, MD 20852-4874 2019-11-01
1063904282 Siobhan Ivy Telfer Urology Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 2018-06-04
1760904379 Peninsula Urology Associates, Pa Urology 1342 S Division St Unit 401, Salisbury, MD 21804-6921 2017-07-14
1568844744 Sunil Patel Urology 600 N Wolfe St Bldg 2nd, Baltimore, MD 21287-0005 2015-06-23
1871903864 Michael H. Kane, M.d., LLC Urology 688 Poole Rd Ste A, Westminster, MD 21157-6179 2014-04-30
1336567353 Katherine Smentkowski Urology 10710 Charter Dr Ste 130, Columbia, MD 21044-3258 2014-04-07
1083032445 Boston Medical Group- Maryland, P.C. Urology 5500 Knoll Drive, Suite 220, Columbia, MD 21045 2014-04-02
1588089593 Gmb Urology, PC Urology 6495 New Hampshire Ave. Suite #203, Hyattsville, MD 20783 2014-02-27
1780028167 Brian P Neuman Urology 6535 N Charles St Fl 5, Baltimore, MD 21204 2013-04-29
1205270667 Sandeep Gurram Urology 10 Center Drive Building 10 Room 1-5940w, Bethesda, MD 20892-8424 2013-04-28
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Competitor

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City JB ANDREWS
Zip Code 20762

Improve Information

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Dataset Information

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.

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