Stacy S Kelley (NPI# 1174802938, PAC ID# 0840462768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174802938 |
| PAC ID by PECOS | 0840462768 |
| Professional Enrollment ID | I20111018000582 |
| Full Name | Stacy S Kelley |
| Organization Legal Name | OSU GENERAL INTERNAL MEDICINE LLC |
| Address |
6515 Pullman Dr Lewis Center OH 43035-7380 |
| Phone Number | 6146887150 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517103955 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2231 N High St, Columbus, OH 43201-4153 | 6142932700 | OSU FAMILY PRACTICE SERVICES |
| 6515 Pullman Dr, Lewis Center, OH 43035-7380 | 6146887150 | OSU GENERAL INTERNAL MEDICINE LLC |
| Organization Legal Name | OSU GENERAL INTERNAL MEDICINE LLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seuli M Brill | Internal Medicine | Osu General Internal Medicine LLC | 895 Yard St, Grandview Heights, OH 43212-3886 |
| Erin E Mcconnell | Internal Medicine | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Breanne Anstine | Clinical Social Worker | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Mark Troyer | Internal Medicine | Osu General Internal Medicine LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| Chipo Bvunzawabaya | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Shawn Corcoran | Internal Medicine | Osu General Internal Medicine LLC | 2050 Kenny Rd, Suite 1100, Columbus, OH 43221-3502 |
| Martin Clendenning Fried | Internal Medicine | Osu General Internal Medicine LLC | 2050 Kenny Rd, Suite 1100, Columbus, OH 43221-3502 |
| Mary S Vondra | Internal Medicine | Osu General Internal Medicine LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| Jodi M Grandominico | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Jeanne Caligiuri | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Street Address |
6515 PULLMAN DR |
| City | LEWIS CENTER |
| State | OH |
| Zip | 43035-7380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin E Mcconnell | Internal Medicine | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Sarah S Babka | Physician Assistant | Ohio State University Orthopedic | 6515 Pullman Dr, Suite 1100, Lewis Center, OH 43035-7380 |
| Dianna Womer | Nurse Practitioner | Osu Family Practice Services | 6515 Pullman Dr, Suite 2200, Lewis Center, OH 43035-7378 |
| Andrew Neviaser | Orthopedic Surgery | Ohio State University Orthopedic | 6515 Pullman Dr, Suite 1100, Lewis Center, OH 43035-7380 |
| David Banas | Family Medicine | Osu Family Practice Services | 6515 Pullman Dr, Suite 2200, Lewis Center, OH 43035-7378 |
| Heather Lauderback | Clinical Social Worker | Osu Family Practice Services | 6515 Pullman Dr, Suite 2200, Lewis Center, OH 43035-7378 |
| Sheryl F Mascarenhas | Rheumatology | Osu Internal Medicine, LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Mengnai Li | Orthopedic Surgery | Ohio State University Orthopedic | 6515 Pullman Dr, Suite 1100, Lewis Center, OH 43035-7380 |
| Deborah A Gordish | Internal Medicine | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Patricia Ryan | Internal Medicine | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary W Schirm | Emergency Medicine | Cep America - Ohio LLC | 7100 Graphics Way, Lewis Center, OH 43035-1122 |
| Brent Mok | Emergency Medicine | Cep America - Ohio LLC | 7100 Graphics Way, Lewis Center, OH 43035-1122 |
| Joel D Ascher | Emergency Medicine | Cep America - Ohio LLC | 7100 Graphics Way, Lewis Center, OH 43035-1122 |
| David K Groen | Family Medicine | Mount Carmel Healthproviders Inc | 7100 Graphics Way, Suite 2400, Lewis Center, OH 43035-1122 |
| Amy M Kirk | Nurse Practitioner | Midwest Spine and Pain Consultants | 7100 Graphics Way, Suite 3300, Lewis Center, OH 43035-1122 |
| Mark A Read | Physical Therapy | Athletic Advantage Inc | 8849 Whitney Dr, Lewis Center, OH 43035-7107 |
| Andrew Thomas Kronenberger | Physical Therapy | Athletic Advantage Inc | 8849 Whitney Dr, Lewis Center, OH 43035-7107 |
| John Moore | Chiropractic | 8570 Cotter St, Lewis Center, OH 43035-7137 | |
| Philip R Whatley | Psychologist, Clinical | Medpsych Ohio Valley, Inc | 8472 Cotter St, Lewis Center, OH 43035-7139 |
| Taylor D Mcgann | Optometry | Optimal Eye Care LLC | 6456 Pullman Dr, Lewis Center, OH 43035-7377 |
| Find all physicians in zip 43035 | |||
| City | LEWIS CENTER |
| Zip Code | 43035 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEWIS CENTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacy S Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.