SHAWN C. KELLY (NPI# 1932425329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932425329 |
| Entity Type | Individual |
| Full Name | SHAWN C. KELLY |
| Credential | M.D. |
| Practice Address |
1101 26th St S Great Falls MT 59405-5161 |
| Mailing Address |
Po Box 6010 Great Falls MT 59406-6010 |
| Practice Telephone | 4067318888 |
| Practice Fax Number | 4067318876 |
| Mailing Telephone | 4067318888 |
| Mailing Fax Number | 4067318876 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
67556 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710385356 | Shawn Kelly | Physical Therapy Assistant | 1204 South Blvd, North Charleston, SC 29405-5228 | 2014-12-14 |
| 1225192131 | Shawn Connery Kelly | Counselor | 109 Petrolia Rd, Petrolia, PA 16050 | 2006-12-22 |
| 1427675107 | Shawn Kelly | Behavior Technician | 300 W Swanson Ave, Wasilla, AK 99654-6844 | 2020-06-29 |
| 1508393919 | Shawn Christine Kelly | Speech-Language Pathologist | 2820 Northup Way Ste 120, Bellevue, WA 98004-1419 | 2017-05-16 |
| 1336565712 | Shawn Kelly | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-03-10 |
| 1174831093 | Shawn Demian Kelly | Nurse Practitioner | 1061 Harmon Ave, Winn Ach, Fort Stewart, GA 31314-5641 | 2010-09-14 |
| 1013082189 | Shawn Patrick Kelly | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-11-22 |
| 1003808395 | Shawn M Kelly | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2005-08-22 |
| Street Address |
1101 26TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237809 | Nicole Andrea Hanson | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2005-06-28 |
| 1407461429 | Michael Charles German II | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-09-15 |
| 1205445095 | Jeffrey Allen Smith | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-07-28 |
| 1477178606 | Kiarra Mcgee | Pharmacist | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-06-12 |
| 1912522483 | Katelyn Myllymaki-keller | Physician Assistant | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-06-10 |
| 1073135471 | Aimee Thornton | Pharmacist | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-05-08 |
| 1023639531 | Jamie Whisler | Student in an Organized Health Care Education/Training Program | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-05-06 |
| 1205476751 | Sarah Ryan | Dietitian, Registered | 1101 26th St S, Great Falls, MT 59405-5161 | 2020-01-13 |
| 1043861669 | Samantha Anne Basco | Pharmacist | 1101 26th St S, Great Falls, MT 59405-5161 | 2019-09-25 |
| 1114576543 | Katrina Mae Smith | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472395 | Robert Zelman | Internal Medicine | 1300 28th St S, Suite 10, Great Falls, MT 59405-5296 | 2005-07-22 |
| 1679730436 | Providence Health & Services Mt | Internal Medicine | 1417 9th St S, Suite 203, Great Falls, MT 59405-4509 | 2008-05-20 |
| 1184650855 | Benefis Healthcare Practitioners | Internal Medicine | 1300 28th St S, Suite 10, Great Falls, MT 59405-5296 | 2006-06-24 |
| 1821064510 | Michael David Eisenhauer | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2006-02-23 |
| 1801882139 | James L Whittle | Internal Medicine | 1101 26th St S, 5th Floor, Great Falls, MT 59405-5161 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073770525 | St Patrick Hosp and Health Sci Ctr | Internal Medicine | 357 Airport Rd, St. Ignatius, MT 59865-9720 | 2008-05-21 |
| 1871750554 | Providence Health & Services Mt | Internal Medicine | 300 W Mercury Street, Butte, MT 59701-1652 | 2008-05-20 |
| 1518124379 | Providence Health & Services Mt | Internal Medicine | 1102 E Commercial Ave, Anaconda, MT 59711-2718 | 2008-05-20 |
| 1790851319 | Richard David Paustian | Internal Medicine | 32 Medical Park Dr, Helena, MT 59601 | 2006-11-27 |
| 1487189874 | P.a. Kelly Md Pllc | Internal Medicine | 2875 Tina Ave, Suite 111, Missoula, MT 59808-1581 | 2017-04-24 |
| 1760819486 | St. Vincent Healthcare | Internal Medicine | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7506 | 2013-09-27 |
| 1457675084 | T Raymond Foley Iv | Internal Medicine | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2010-03-25 |
| 1396075297 | Per Sommer | Internal Medicine | 801 N 29th St, Billings, MT 59101 | 2009-12-28 |
| 1649401076 | Providence Health & Services Mt | Internal Medicine | 2829 Great Northern Loop, Suite 300, Missoula, MT 59808-1752 | 2009-08-03 |
| 1750510624 | Ronald Brandon Henckel | Internal Medicine | 2900 12th Ave N Ste 204e, Billings, MT 59101-7502 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.