DR. MICHAEL B KELLEHER (NPI# 1861846545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861846545 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL B KELLEHER |
| Credential | M.D. |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Mailing Address |
1949 Gunbarrel Rd Ste 206 Chattanooga TN 37421-7133 |
| Practice Telephone | 9103437000 |
| Practice Fax Number | 9106675650 |
| Mailing Telephone | 4234954345 |
| Mailing Fax Number | 4234954934 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 218680 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902205412 | Michael Kelleher | Behavioral Analyst | 2753 Hampton Green Ln, Brandon, FL 33511-7004 | 2014-08-20 |
| 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 |
| 1851475800 | Michael B Kelleher | Pathology | 4939 Brittonfield Pkwy, 209, East Syracuse, NY 13057-9208 | 2006-10-25 |
| 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 |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1891357760 | Essentials Medical Group De LLC | Internal Medicine | 3700 Lancaster Pike Ste 301, Wilmington, DE 19805-1511 | 2019-07-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1578982666 | Shannon E. Pan | Internal Medicine | 3301 Lancaster Pike Ste 9, Wilmington, DE 19805-1436 | 2014-04-16 |
| 1922428044 | Katelyn Fritzges | Internal Medicine | 3506 Kennett Pike Ste 230, Wilmington, DE 19807-3019 | 2014-04-16 |
| 1902241441 | Brenden David Connor | Internal Medicine | 2006 Limestone Rd Ste 7, Wilmington, DE 19808 | 2013-05-09 |
| 1619221744 | Monika Partyka-zdunek | Internal Medicine | 625 Black Gates Rd, Wilmington, DE 19803-2239 | 2012-10-26 |
| 1982963443 | Kathryn Sweeney El-amraoui | Internal Medicine | 4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 | 2012-05-03 |
| 1558635714 | Allison Bronwen Evans | Internal Medicine | 1203 Barley Mill Rd, Wilmington, DE 19807-2225 | 2012-03-05 |
| 1225301971 | Romil Rasik Patel | Internal Medicine | 2006 Limestone Road, Suite 7, Wilmington, DE 19808 | 2012-02-10 |
| 1982976692 | Joseph M Molina Md Professional Corporation-southern California | Internal Medicine | 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 | 2012-01-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.