Kelly P Callis (NPI# 1033610100, PAC ID# 1456615137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033610100 |
| PAC ID by PECOS | 1456615137 |
| Professional Enrollment ID | I20180504000204 |
| Full Name | Kelly P Callis |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
200 3rd Ave W Bradenton FL 34205-8633 |
| Phone Number | 9417920340 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 3rd Ave W, Bradenton, FL 34205-8633 | 9417920340 | 21ST CENTURY ONCOLOGY, LLC |
| 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8633 | 9417920340 | 21ST CENTURY ONCOLOGY, LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
200 3RD AVE W |
| City | BRADENTON |
| State | FL |
| Zip | 34205-8633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha Mohsin Malik | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Amanda S Urzykowski | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Theresa A Lovett | Certified Registered Nurse Anesthetist (crna) | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Vivian C Faircloth | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Daniel Wolfe | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Caroline A Mcdonald | Psychiatry | Refresh Canopy Cove, Inc | 200 3rd Ave W, 100 Comprehensive Medpsych, Bradenton, FL 34205-8628 |
| Peter E Da Rold | Anesthesiology | Up Anesthesia Services LLC | 200 3rd Ave W, Suite 170, Bradenton, FL 34205-8632 |
| Shannon Nicole Hall | Nurse Practitioner | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| John R Ayres | Orthopedic Surgery | Vigafra Pllc | 200 3rd Ave W, Suite 170, Brandenton, FL 34205-8626 |
| Nisha Pradeep | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arleta A Kitlas | Internal Medicine | 3915 8th Ave W, Bradenton, FL 34205-1701 | |
| Pamela C Chapman | Osteopathic Manipulative Medicine | 3930 8th Ave W, Bradenton, FL 34205-1702 | |
| Daniel J Serpentelli | Chiropractic | 3806 Manatee Ave W, Suite 100, Bradenton, FL 34205-1714 | |
| Brian T Mckinley | Rheumatology | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Daniel H Ober | Physician Assistant | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Camilo L Cabrera | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| David P Divita | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Carlos M Rodriguez-mendoza | Internal Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Cheung T Teav | Physical Therapy | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Andrew M Guzman | Family Medicine | West Florida Physician Network, LLC | 4110 Manatee Ave W, Bradenton, FL 34205-1719 |
| Find all physicians in zip 34205 | |||
| City | BRADENTON |
| Zip Code | 34205 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRADENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly P Callis.
| 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.