CAROL E KELLY (NPI# 1902133069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902133069 |
| Entity Type | Individual |
| Full Name | CAROL E KELLY |
| Credential | P.A. |
| Practice Address |
18101 Lorain Road Cleveland OH 44111 |
| Mailing Address |
Po Box 74953 Cleveland OH 44194-1036 |
| Practice Telephone | 2164767000 |
| Mailing Telephone | 4408790081 |
| Mailing Fax Number | 4408790084 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50-001861 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578841979 | Carol Kelly | Physical Therapist | 6001 Cochran Rd Ste 202, Solon, OH 44139-3325 | 2011-08-02 |
| 1699900464 | Carol Lee Kelly | Occupational Therapy Assistant | 1939 Sw Troon Ave, Bend, OR 97702 | 2009-05-22 |
| 1528249091 | Carol Ann Kelly | Psychologist | 10451 Tennessee Ave, Los Angeles, CA 90064-2329 | 2007-11-26 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1306808647 | Carol B. Kelly | Internal Medicine | 668 Allerton Ave, Bronx, NY 10467-7406 | 2006-04-03 |
| 1780644542 | Carol Kelly | Counselor | 7370 Creek Rd, Suite 102, Sandy, UT 84093-6105 | 2006-03-24 |
| 1952817173 | Carol Kelly | Social Worker | 425 Robinson St, Binghamton, NY 13904-1735 | 2017-12-26 |
| 1659742302 | Carol Loreen Kelly | Nurse Practitioner | 25200 Center Ridge Rd, Suite 2300, Westlake, OH 44145-4141 | 2015-10-07 |
| 1932501566 | Carol J. Kelly | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2014-09-26 |
| 1578803359 | Carol Ann Kelly | Counselor | 7171 Bowling Dr, 300, Sacramento, CA 95823-2034 | 2013-02-15 |
| Street Address |
18101 LORAIN ROAD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236778 | Pawel Samplawski | Physician Assistant | 4697 W 149th St, Cleveland, OH 44135-3421 | 2019-07-10 |
| 1720647605 | Haley Martin | Physician Assistant | 2701 Jay Ave, Cleveland, OH 44113-3041 | 2019-06-13 |
| 1841857570 | Lindsey Gardiner | Physician Assistant | 1504 E 107th St, Cleveland, OH 44106-1830 | 2019-05-29 |
| 1972169142 | Morgan Adeline Tomsic | Physician Assistant | 2300 Overlook Rd Apt 720, Cleveland, OH 44106-5922 | 2019-05-14 |
| 1598239410 | Bridget Stauffer | Physician Assistant | 9500 Euclid Ave # A-60, Cleveland, OH 44195-1924 | 2019-01-14 |
| 1811462906 | John Michael Bonham | Physician Assistant | 2121 N Ocoee St Ste 101, Cleveland, TN 37311-3953 | 2018-10-04 |
| 1427532977 | Robert J Werner | Physician Assistant | 18101 Lorain Ave # 4, Cleveland, OH 44111-5612 | 2018-09-20 |
| 1285114892 | Guy David Ferguson | Physician Assistant | 400 Stuart Rd Ne Ste 1, Cleveland, TN 37312-4995 | 2018-08-14 |
| 1821592551 | Elizabeth Anne Butler | Physician Assistant | 9500 Euclid Ave Mail Code: S51, Cleveland, OH 44193-0001 | 2018-03-19 |
| 1285148817 | Marci Scovil | Physician Assistant | 9500 Euclid Ave # G60, Cleveland, OH 44195 | 2017-11-17 |
| Find all providers in CLEVELAND | ||||
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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.