DR. PATRICK MARK KELLEY (NPI# 1861593949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861593949 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MARK KELLEY |
| Credential | M.D. |
| Practice Address |
15 Doctors Dr Panama City FL 32405-4520 |
| Practice Telephone | 8507698991 |
| Practice Fax Number | 8507693708 |
| Mailing Telephone | 8507698991 |
| Mailing Fax Number | 8507693708 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME32802 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 031772-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437775 | Patrick Kelley | Preventive Medicine | 1935 Kimberly Rd, Silver Spring, MD 20903-1221 | 2014-08-21 |
| 1568702603 | Patrick Joseph Kelley | Physical Therapy Assistant | 1316 Harner Ln, Cloquet, MN 55720-2973 | 2013-02-27 |
| 1063544138 | Patrick Johm Kelley | Dentist | 85 Patton Rd., Robbinsville, NC 28771 | 2007-03-12 |
| 1659306348 | Patrick Kelley | Oral & Maxillofacial Surgery | 1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078 | 2006-07-11 |
| 1902846504 | Patrick L Kelley | Physician Assistant | 150 S 12th St, Phoenix, AZ 85034-2301 | 2006-06-08 |
| 1316949274 | Patrick Kelley | Nurse Anesthetist, Certified Registered | 2865 Westmoreland Ave Nw, Canton, OH 44718-3318 | 2005-08-11 |
| 1972077550 | Patrick Kelley | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2677 | 2019-01-16 |
| 1972092245 | Patrick Kelley | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2018-05-02 |
| 1659868941 | Patrick C Kelley | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2018-04-23 |
| 1972011864 | Patrick W Kelley Jr. | Behavioral Analyst | 9481 Bayshore Dr Nw Ste 201, Silverdale, WA 98383-8378 | 2018-01-13 |
| Street Address |
15 DOCTORS DR |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023327673 | Patrick M.kelley, M.d., Plastic Surgery Center, P.a. | Clinic/Center | 15 Doctors Dr, Panama City, FL 32405-4520 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942561204 | Phillip H Nunnery Md Pa | Plastic Surgery | 1936 Jenks Avenue, Panama City, FL 32405 | 2012-06-04 |
| 1588747471 | Phillip Hardy Nunnery | Plastic Surgery | 1936 Jenks Ave, Panama City, FL 32405-4528 | 2006-10-23 |
| 1538376215 | Bay Plastic Surgery | Plastic Surgery | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
| 1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
| 1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
| 1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.