KELLEY W. MARSHALL (NPI# 1962475582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962475582 |
| Entity Type | Individual |
| Full Name | KELLEY W. MARSHALL |
| Credential | MD |
| Practice Address |
7795 Landowne Dr Atlanta GA 30350-1063 |
| Practice Telephone | 7707308535 |
| Practice Fax Number | 7707308535 |
| Mailing Telephone | 7707308535 |
| Mailing Fax Number | 7707308535 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
048372 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HUMANA/NORTON | 000023033O | 01 |
| KY | PASSPORT/NORTON | 50019563 | 01 |
| IN | 200928350 | 05 | |
| KY | ANTHEM/NORTON | 000000568993 | 01 |
| KY | SIHO/NORTON | 096946 | 01 |
| KY | MEDICARE | 00533044 | 01 |
| GA | 000852893 | 05 | |
| KY | KY MEDICAID-NORTON | 7100044200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952641631 | Kelley Lynn Marshall | Speech-Language Pathologist | 111 Sulphur Springs Rd, Murfreesboro, TN 37129-2117 | 2013-02-18 |
| Street Address |
7795 LANDOWNE DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679725261 | Smyrna Perez Tuburan | Radiology | Emory University Hospital 1364 Clifton Rd, Atlanta, GA 30322-2804 | 2008-10-15 |
| 1659564078 | Jonathan Loewen | Radiology | 8303 Northlake Heights Cir Ne, Atlanta, GA 30345-2268 | 2007-08-20 |
| 1528072634 | Estelle R. Bank | Radiology | The Emory Clinic-radiology, 1365 Clifton Rd. Ne - Bldg A, Atlanta, GA 30322-0001 | 2006-07-27 |
| 1215219621 | Joo Yup Cho | Radiology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2011-09-12 |
| 1144545609 | Ashishkumar Kanaiyalal Parikh | Radiology | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2010-03-28 |
| 1740422963 | Bradley Rostad | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2009-04-02 |
| 1922273861 | Clifford Matthew Hawkins | Radiology | 1405 Clifton Rd Ne, Choa - Egleston Radiology Dept, Atlanta, GA 30322-1060 | 2008-04-22 |
| 1902090376 | Shelly Irene Shiran | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2007-08-29 |
| 1811031073 | Kiery Ann Braithwaite | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1062 | 2007-02-19 |
| 1790836583 | Tanya Michelle Fields | Radiology | 1000 Johnson Ferry Rd Ne, Radiology Department, Atlanta, GA 30342-1606 | 2007-01-16 |
| Find all providers in ATLANTA | ||||
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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.