ANNE M KELLY (NPI# 1922197854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922197854 |
| Entity Type | Individual |
| Full Name | ANNE M KELLY |
| Credential | MD |
| Practice Address |
516 Delaware Street Pwb Fourth Floor, Room 4-100 Minneapolis MN 55455 |
| Mailing Address |
420 Delaware St Se Mmc 391 University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126727122 |
| Mailing Telephone | 6126727122 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
33787 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARAZ | 768191 | 01 | |
| MN | MEDICA-CHOICE | 1224912 | 01 |
| MN | BCBS | 7T749KE | 01 |
| MN | UCARE | 100911 | 01 |
| MN | HEALTH PARTNERS | HP21986 | 01 |
| MN | MEDICA-PRIMARY | 1274813 | 01 |
| MN | FAIRVIEW | 053876 | 01 |
| IA | 0908632 | 05 | |
| MN | PREFERRED ONE | 1000079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598876880 | Anne Christine Kelly | Surgery | 1010 Downing Ave, Hays, KS 67601-2461 | 2006-08-31 |
| 1659348035 | Anne Gerise Kelly | Physical Therapist | 90 West Afton Ave, Suite G 5 and 6, Yardley, PA 19067 | 2006-03-03 |
| 1801252507 | Anne Kelly | Case Manager/Care Coordinator | 1200 Callowhill St Ste 101, Philadelphia, PA 19123-3658 | 2016-01-11 |
| 1093134942 | Anne Elizabeth Codere Kelly | Internal Medicine | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2014-04-08 |
| 1306073739 | Anne Christine Kelly | Psychiatry & Neurology | 300 Veazey Dr, Butner, NC 27509-1668 | 2009-06-11 |
| 1548413743 | Anne M. Kelly | Speech-Language Pathologist | 435 4th St, Troy, NY 12180-5324 | 2008-10-31 |
| 1952599094 | Anne Elizabeth Kelly | Social Worker | 4150 Clement St, Bldg. 208, San Francisco, CA 94121-1545 | 2007-10-12 |
| 1699857409 | Anne B. Kelly | Social Worker | 333 Avenue X, Brooklyn, NY 11223-5947 | 2006-10-20 |
| 1205944824 | Anne M. Kelly | Orthopaedic Surgery | 333 Earle Ovington Blvd, Omni Building, Uniondale, NY 11553-3610 | 2006-08-25 |
| 1093739823 | Anne Kelly | Nurse Anesthetist, Certified Registered | 701 E Marshall St, West Chester, PA 19380-4412 | 2006-07-26 |
| Street Address |
516 DELAWARE STREET PWB FOURTH FLOOR, ROOM 4-100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851336101 | John Peter Bantle | Internal Medicine | 516 Delaware Street, Univ. of Mn Phyisicians, Pwb Sixth Floor, Clinic 6a, Minneapolis, MN 55455 | 2006-06-19 |
| 1346482544 | Shashank Vats | Internal Medicine | 516 Delaware Street, Ump Cardiovascular Center, Minneapolis, MN 55455 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275657348 | James Lee Anderson | Pediatrics | 707 Ridgewood Rd, Duluth, MN 55804-1732 | 2007-03-16 |
| 1912069519 | Northern Lights Pediatric & Adolescent Medicine | Pediatrics | 3555 Willow Lake Blvd., Suite 140, Vadnais Heights, MN 55110-4462 | 2006-12-14 |
| 1952473662 | Julia Ann Beckman | Pediatrics | 1547 Livingston Ave, Saint Paul, MN 55118-3411 | 2006-11-15 |
| 1841221892 | Federico Pascual Tinsay | Pediatrics | 15765 Holstein Avenue, Redlake, MN 56671-0497 | 2006-07-06 |
| 1508850561 | Linda J Knapp | Pediatrics | 3555 Willow Lk Blvd, Suite 140, Vadnais Heights, MN 55110 | 2005-09-07 |
| 1669996278 | Leander Dominic Timothy | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-07-26 |
| 1891016481 | St Catherine University | Pediatrics | 2004 Randolph Ave, Mail #4112, Saint Paul, MN 55105-1750 | 2010-06-17 |
| 1376775437 | Lisa Ann Bishop | Pediatrics | 15245 Bluebird St Nw, Andover, MN 55304 | 2009-08-21 |
| 1194975110 | Roy F House | Pediatrics | 200 1st St Sw, Emeritus Staff Center Plummer North 10, Rochester, MN 55905-0001 | 2008-09-26 |
| 1184796898 | Pediatric & Adolescent Care of Mn., P.a. | Pediatrics | 1547 Livingston Ave, Saint Paul, MN 55118-3411 | 2006-11-15 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on ANNE M KELLY.
| 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.