Jason P Kelly (NPI# 1073543831, PAC ID# 3577565506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1073543831 |
| PAC ID by PECOS | 3577565506 |
| Professional Enrollment ID | I20070607000060 |
| Full Name | Jason P Kelly |
| Organization Legal Name | UPSTATE CAROLINA RADIOLOGY PA |
| Address |
101 E Wood St Spartanburg SC 29303-3040 |
| Phone Number | 8645606000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0941298244 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420023 | ST FRANCIS-DOWNTOWN |
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420103 | PELHAM MEDICAL CENTER |
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| 420108 | UNION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1530 N Limestone St, Gaffney, SC 29340-4742 | 8644871556 | UPSTATE CAROLINA RADIOLOGY PA |
| 101 E Wood St, Spartanburg, SC 29303-3040 | 8645606000 | UPSTATE CAROLINA RADIOLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 97% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 98% |
| Organization Legal Name | UPSTATE CAROLINA RADIOLOGY PA |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pelino | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Stetson Reed Bickley | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Michael Joseph Enright | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Kelan J Brown | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Richard John Harp | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Amanda A Faile | Nurse Practitioner | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Luther Person | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Daniel Wayne Bozarth | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Robert Wililiam Krause | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Joshua Frank Smith | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Street Address |
101 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip | 29303-3040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tondre Buck | Medical Oncology | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Adam A Evec | Anesthesiology | Foothills Anesthesia Consultants, PC | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Patricia Griffin | Radiation Oncology | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Andrew O Ekatan | Internal Medicine | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Stetson Reed Bickley | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Mary J Leonardi | Physician Assistant | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Chason C Carter | Certified Registered Nurse Anesthetist (crna) | Spartanburg Medical Center | 101 E Wood St, Suite 401, Spartanburg, SC 29303-3040 |
| Paul J. Reilly | Certified Registered Nurse Anesthetist (crna) | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Angela Moore Tucker | Certified Registered Nurse Anesthetist (crna) | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Luis Ignacio De La Cruz | Pulmonary Disease | Spartanburg Medical Center | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Anthony Turowski Iii | Chiropractic | 1479 Boiling Springs Rd, Spartanburg, SC 29303-1966 | |
| Gregg Weedon Howell | Chiropractic | 1400 Boiling Springs Rd, Spartanburg, SC 29303-1995 | |
| Ashley Nicole Mckinney | Nurse Practitioner | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Bogdan P Gheorghiu | Neurology | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Roxanne Singer-gheorhiu | Nurse Practitioner | Bg Neurology LLC | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 |
| Bill E Hannouche | Chiropractic | Hannouche Family Chiropractic Clinic Pa.. | 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243 |
| Nicholas J Hannouche | Chiropractic | Hannouche Family Chiropractic Clinic Pa.. | 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243 |
| Christina Garrett | Nurse Practitioner | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Renju T Joseph | Physical Medicine and Rehabilitation | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Charles David Tollison | Psychologist, Clinical | Carolinas Center for Advanced Management of Pain, Pa | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244 |
| Find all physicians in zip 29303 | |||
| City | SPARTANBURG |
| Zip Code | 29303 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SPARTANBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason P Kelly.
| 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.