Caitilin T Kelly (NPI# 1811066350, PAC ID# 5496829210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1811066350 |
PAC ID by PECOS | 5496829210 |
Professional Enrollment ID | I20080728000700 |
Full Name | Caitilin T Kelly |
Address |
1004 W 1st St Bloomington IN 47403-2208 |
Phone Number | 8122878788 |
Gender | F |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150051 | INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
601 W 2nd St, Bloomingtion, IN 47403-2317 | 8123279619 | |
1004 W 1st St, Bloomington, IN 47403-2208 | 8122878788 |
Street Address |
1004 W 1ST ST |
City | BLOOMINGTON |
State | IN |
Zip | 47403-2208 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peggy A Ryan | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 421 S College Ave, Bloomington Health Center, Bloomington, IN 47403-1514 |
Lloyd D Ericson | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
Dylan C Witthoft | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
Brandon M Osmon | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
Beth Estelle Pruett | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
Brandon James Maze | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
Mandice M Williams | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, C, Bloomington, IN 47403-2078 |
David Savage | Thoracic Surgery | Indiana University Health Southern Indiana Physicians, Inc | 1312 W Arch Haven Ave A, Indiana University Health Southern, Bloomington, IN 47403-2088 |
Thomas R Spevak | Physical Therapy | Advanced Physical Therapy LLC | 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088 |
Elysia C Tieman | Physical Therapy | Advanced Physical Therapy LLC | 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088 |
Find all physicians in zip 47403 |
City | BLOOMINGTON |
Zip Code | 47403 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BLOOMINGTON + INTERNAL MEDICINE |
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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.