Douglas J Kelley (NPI# 1306108428, PAC ID# 5092038992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1306108428 |
| PAC ID by PECOS | 5092038992 |
| Professional Enrollment ID | I20141230000448 |
| Full Name | Douglas J Kelley |
| Organization Legal Name | EMERGENCY PROFESSIONALS OF MICHIGAN, P.C. |
| Address |
5450 Ford St Trenton MI 48183-4601 |
| Phone Number | 7346713800 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274767371 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230270 | BEAUMONT HOSPITAL - TAYLOR |
| Address | Phone | Organization |
|---|---|---|
| 5450 Ford St, Trenton, MI 48183-4601 | 7346713800 | EMERGENCY PROFESSIONALS OF MICHIGAN, P.C. |
| Organization Legal Name | EMERGENCY PROFESSIONALS OF MICHIGAN, P.C. |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid Kenneth Smith | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 7300 N Canton Ctr Rd, Canton, MI 48187-1579 |
| Annette M Frendo | Nurse Practitioner | Emergency Professionals of Michigan, P.C. | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 |
| Ahmad M Fawaz | Nurse Practitioner | Emergency Professionals of Michigan, P.C. | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Jeffrey David Butler | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 33155 Annapolis St, Wayne, MI 48184-2405 |
| Alec G Lesko Ii | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 |
| Erika R Roberts | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Cinnamon Rena Toth | Nurse Practitioner | Emergency Professionals of Michigan, P.C. | 33155 Annapolis St, Wayne, MI 48184-2405 |
| Kaitlin A Mcdonald | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Bradley W Smude | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Aesha Ahmad | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Street Address |
5450 FORD ST |
| City | TRENTON |
| State | MI |
| Zip | 48183-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Apsey | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Brian Henk | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Brandon Claxton | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Samir A Dabbous | Cardiovascular Disease (cardiology) | Oakwood Healthcare Inc | 5450 Ford St, Trenton, MI 48183-4601 |
| Kyle A Nedic | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Devon Danny Warren | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Matthew Wilusz | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Beatrice H Muglia | Pathology | Beaumont Medical Group Hospital Based Services | 5450 Ford St, Trenton, MI 48183-4601 |
| Karen Samples | Internal Medicine | 5450 Ford St, Trenton, MI 48183-4601 | |
| Anna Y Fleytman-pope | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal Gupta | Ophthalmology | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Prashant D Kapadia | Optometry | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Saif H Hafeez | Ophthalmology | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Melissa A Arnoczki | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Patricia A Odette | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Darren S Kalkan | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Jeffrey Garrett Cramblett | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Joseph C Won | Medical Oncology | Henry Ford Health System | 19675 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Debbie D Woody Vitale | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Vicki Maria Anton Athens | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Find all physicians in zip 48183 | |||
| City | TRENTON |
| Zip Code | 48183 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TRENTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Douglas J 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.