JAMES J KELLY (NPI# 1871593053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871593053 |
Entity Type | Individual |
Full Name | JAMES J KELLY |
Credential | D.O. |
Practice Address |
3925 Sheridan Dr Amherst NY 14226-1738 |
Practice Telephone | 7162509999 |
Mailing Telephone | 7162509999 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2018-03-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
189303 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | BLUE CROSS BLUE SHIELD | 000524163001 | 01 |
NY | WORKERS COMPENSATION BOAR | OPCOS189303 | 01 |
NY | UNIVERA | 00010089101 | 01 |
NY | INDEPENDENT HEALTH | 0905716 | 01 |
NY | 01438013 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083221949 | James Edward Kelly Jr. | Occupational Therapist | 45 Montcalm St, Ticonderoga, NY 12883-1343 | 2020-09-25 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1902328032 | James Kelly | Physician Assistant | 8200 Henry Ave Ste G1, Philadelphia, PA 19128-2953 | 2017-07-11 |
1245782408 | James Kelly | Psychologist | 170 Pearl St Se, Atlanta, GA 30316-1247 | 2016-11-03 |
1104215300 | James Kelly | Physical Therapist | 8937 Woodman Way, Sacramento, CA 95826-2140 | 2015-01-12 |
1447543087 | James Anthony Kelly | Family Medicine | 517 North Center St, Sabinal, TX 78881 | 2011-05-16 |
1184879983 | James Aaron Kelly | Dentist | 10833 Le Conte Avenue Room A0-156b Chs, Uc Regents Maxillofacial Prosthodontics, Los Angeles, CA 90095-1668 | 2008-11-20 |
1598930711 | James Christopher Kelly | Anesthesiology | 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 | 2008-04-29 |
1952592735 | James Gerard Kelly | Licensed Practical Nurse | 120 Loperwood Ln, Lagrange, OH 44050-9756 | 2007-08-06 |
1568669653 | James Edward Kelly | Psychiatry & Neurology | 29466-5 Pintail Drive, Easton, MD 21601 | 2007-07-02 |
Street Address |
3925 SHERIDAN DR |
City | AMHERST |
State | NY |
Zip Code | 14226-1738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366448367 | Dale R Wheeler | Orthopaedic Surgery | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2005-06-23 |
1477160448 | Kelsey Stitt | Occupational Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-09-24 |
1245845528 | Colleen Hannon | Occupational Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-09-13 |
1205454485 | David Daniel Dyson | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-07-14 |
1447875869 | Jenna Marie Toy | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-06-11 |
1245868207 | Nicholas Herbert Darling | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-03-27 |
1689209918 | Kayla Rose Mansfield | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-03-06 |
1275166324 | Nichole Becker | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-02-18 |
1730724402 | Marlo Elizabeth Jarmusz | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-11-16 |
1689215956 | Zachary Baker | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
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Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366448367 | Dale R Wheeler | Orthopaedic Surgery | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2005-06-23 |
1952338048 | John J Callahan | Orthopaedic Surgery | 3925 Sheridan Drive, Suite 100, Amherst, NY 14226-0000 | 2006-06-26 |
1457358780 | Owen J Moy | Orthopaedic Surgery | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2005-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013538909 | Michelle Gerwin Carlson, M.d., P.C. | Orthopaedic Surgery | 523 E 72nd St Rm 4-408, New York, NY 10021-4099 | 2020-05-01 |
1285289918 | David Cinats | Orthopaedic Surgery | 6620 Fly Rd Ste 100, East Syracuse, NY 13057-9791 | 2019-08-08 |
1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
1215426390 | Kristen Alexander | Orthopaedic Surgery | 525 E 71st St Ofc 2, New York, NY 10021-4839 | 2018-05-04 |
1013437078 | Ari Mayerfield, M.d.f.a.c.s, Pllc | Orthopaedic Surgery | 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567-4114 | 2017-06-21 |
1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
1639587504 | New York Hand Surgery P.C. | Orthopaedic Surgery | 330 9th St Apt 1, Brooklyn, NY 11215-4026 | 2014-07-23 |
1821387085 | Steven Michael Koehler | Orthopaedic Surgery | 450 Clarkson Ave # Msc30, Brooklyn, NY 11203-2012 | 2011-03-28 |
1295969046 | Andrew Joseph Leo | Orthopaedic Surgery | 517 Route 111, 3rd Fl Ste 3b, Hauppauge, NY 11788 | 2009-05-08 |
1063615763 | Farouq Al-khalidi | Orthopaedic Surgery | 4500 Vestal Rd, Vestal, NY 13850-3535 | 2007-06-08 |
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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.