MICHAEL B KELLEHER (NPI# 1851475800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851475800 |
| Entity Type | Individual |
| Full Name | MICHAEL B KELLEHER |
| Credential | MD |
| Practice Address |
4939 Brittonfield Pkwy 209 East Syracuse NY 13057-9208 |
| Mailing Address |
4939 Brittonfield Pkwy Ste 209 East Syracuse East Syracuse NY 13057-9208 |
| Practice Telephone | 3152180085 |
| Practice Fax Number | 3152180087 |
| Mailing Telephone | 3152180085 |
| Mailing Fax Number | 3152180087 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
196028 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902205412 | Michael Kelleher | Behavioral Analyst | 2753 Hampton Green Ln, Brandon, FL 33511-7004 | 2014-08-20 |
| 1861846545 | Michael B Kelleher | Internal Medicine | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-04-19 |
| 1518253418 | Michael S Kelleher Jr. | Radiology | 1591 Boston Post Rd Ste 106, Guilford, CT 06437-4335 | 2011-06-20 |
| 1154495448 | Michael David Kelleher | Pediatrics | 2300 Childrens Plaza, Box #73, Chicago, IL 60614-3394 | 2006-11-20 |
| 1417046004 | Michael John Kelleher | Otolaryngology | 106 Milford Street, Suite 101, Salisbury, MD 21804 | 2006-10-12 |
| 1326001272 | Michael S. Kelleher | Physician Assistant | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2006-04-11 |
| 1811965130 | Michael H Kelleher | Internal Medicine | 5 Neponset St Fl Street12, Worcester, MA 01606-2714 | 2006-03-11 |
| Street Address |
4939 BRITTONFIELD PKWY 209 |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364940 | Michael Fiacco | Family Medicine | 4939 Brittonfield Pkwy, East Syracuse, NY 13057-9208 | 2017-05-25 |
| 1306394713 | Margaret Gambee Sweet | Physician Assistant | 4939 Brittonfield Pkwy, Suite 202, East Syracuse, NY 13057-9208 | 2016-09-14 |
| 1265823306 | Stacey Michelle Cook | Physician Assistant | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057-9208 | 2015-02-11 |
| 1659702314 | Lyndsay Raasch | Physician Assistant | 4939 Brittonfield Pkwy, Bldg B., Ste. 210, East Syracuse, NY 13057-9208 | 2013-12-06 |
| 1265869648 | Kevin James Smith | Physician Assistant | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057-9208 | 2013-10-01 |
| 1730443003 | Anthony John Malvasi | Family Medicine | 4939 Brittonfield Pkwy, East Syracuse, NY 13057-9208 | 2012-07-01 |
| 1518292333 | Theresa Mary Lucason | Physician Assistant | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057-9208 | 2009-10-13 |
| 1376788588 | Amy Lynn Russell | Physician Assistant | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057 | 2008-12-03 |
| 1578718730 | Stephanie Anne Clapper | Family Medicine | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057-9208 | 2008-12-01 |
| 1588819734 | James L Tarala | Family Medicine | 4939 Brittonfield Pkwy, Suite 101, East Syracuse, NY 13057-9208 | 2008-12-01 |
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|---|---|---|---|---|
| 1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
| 1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
| 1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
| 1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
| 1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
| 1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
| 1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
| 1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
| Find all providers in zip 13057 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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| 1033605696 | Riddhish Tushar Sheth | Pathology | 4370 Kissena Blvd Apt 12a, Flushing, NY 11355 | 2018-07-07 |
| 1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
| 1346755410 | Sunstone Pathology Services PC | Pathology | 1010 Adams Ave, Franklin Square, NY 11010-2248 | 2017-12-11 |
| 1316494578 | Jane Date Hon | Pathology | 7528 167th St, Flushing, NY 11366-1327 | 2016-09-06 |
| 1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
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| City | EAST SYRACUSE |
| Zip Code | 13057 |
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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.