Robert M Kellman (NPI# 1265476410, PAC ID# 1355240110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1265476410 |
PAC ID by PECOS | 1355240110 |
Professional Enrollment ID | I20110103000674 |
Full Name | Robert M Kellman |
Organization Legal Name | ST JOSEPHS MEDICAL PC |
Address |
4100 Medical Ctr Dr Suite 117 Fayetteville NY 13066 |
Phone Number | 3157441505 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1977 |
Primary Specialty | OTOLARYNGOLOGY |
Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
Group Practice PAC ID | 4688855844 |
Number of Group Practice Members | 340 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 | 3157441505 | ST JOSEPHS MEDICAL PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% |
Organization Legal Name | ST JOSEPHS MEDICAL PC |
Physicians | 316 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley E Crumb | Nurse Practitioner | St Josephs Medical PC | 8278 Willett Pkwy, Fl 2, Baldwinsville, NY 13027-1311 |
Megan M Wolfe | Nurse Practitioner | St Josephs Medical PC | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3808 |
Brandon W Crandall | Nurse Practitioner | St Josephs Medical PC | 4103 Medical Ctr Dr, Fayetteville, NY 13066-6600 |
Kyle Tucci | Nurse Practitioner | St Josephs Medical PC | 4507 Medical Ctr Dr, Fayetteville, NY 13066-6604 |
Hooman Ranjbaran Jahromi | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
Tucker Harris | Otolaryngology | St Josephs Medical PC | 4117 Medical Ctr Dr, Fayetteville, NY 13066-6600 |
Michael P Gabris | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1853 |
Dennis J Nave | Family Medicine | St Josephs Medical PC | 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504 |
John P O'brien | Family Medicine | St Josephs Medical PC | 4104 Medical Ctr Dr, Suite 104, Fayetteville, NY 13066-6635 |
Farron C Bennett | Physician Assistant | St Josephs Medical PC | 615 N Seward Ave, Auburn, NY 13021-2107 |
Street Address |
4100 MEDICAL CTR DR SUITE 117 |
City | FAYETTEVILLE |
State | NY |
Zip | 13066 |
Name | Specialty | Organization | Address |
---|---|---|---|
Francis J Durgin | Psychiatry | 6836 E Genesee St, Fayetteville, NY 13066-1024 | |
Patricia G Barletta | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
Alyssa Bovalino | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
Jason E Falcone | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
Glenn J Gilberg | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
Joseph Novek | Podiatry | 6950 E Genesee St, Fayetteville, NY 13066-1036 | |
Michael A Giordano | Chiropractic | 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051 | |
Stanton Tepfer | Optometry | Empire Vision Center Inc | 6859 E Genesee St, Fayetteville, NY 13066-1086 |
Taryn A Bader | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
Douglas Paul Fye | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
Find all physicians in zip 13066 |
City | FAYETTEVILLE |
Zip Code | 13066 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | FAYETTEVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Robert M Kellman.
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.