Michael E Kelly (NPI# 1083685523, PAC ID# 8426002478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1083685523 |
| PAC ID by PECOS | 8426002478 |
| Professional Enrollment ID | I20090915000766 |
| Full Name | Michael E Kelly |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Address |
1362 Tappahannock Blvd Tappahannock VA 22560-9309 |
| Phone Number | 8044435378 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3072411479 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 N 28th St, Richmond, VA 23223-5332 | 8045943478 | BON SECOURS-RICHMOND COMMUNITY HOSPITAL INCORPORATED |
| 1510 N 28th St, Richmond, VA 23223-5311 | BON SECOURS-VIRGINIA HEALTHSOURCE INC | |
| 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 | 8044435378 | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley Shanahan | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 10571 Telegraph Rd, Suite 130, Glen Allen, VA 23059-4652 |
| Berna A Seabrook | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 2421 Chamberlayne Ave, Richmond, VA 23222-4205 |
| James R Daniels Jr. | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| George Parker | General Practice | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Cecilia L Santos | Internal Medicine | Bon Secours-virginia Healthsource Inc | 101 Harris Rd, Kilmarnock, VA 22482-3880 |
| Brennan J Carmody | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| Allen Y Tsui | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Joynita M Nicholson | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Michael A White | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| Archer Lewis Baskerville | Cardiovascular Disease (cardiology) | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Street Address |
1362 TAPPAHANNOCK BLVD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip | 22560-9309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Parker | General Practice | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Allen Y Tsui | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Joynita M Nicholson | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Archer Lewis Baskerville | Cardiovascular Disease (cardiology) | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Stacy Gittler | Physician Assistant | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Nathan W. Lee | General Surgery | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Alysha Nakoneczny | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Erin R Brown | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Rebekah S Augustine | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Ife F Torrence | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Ryan | Optometry | William G. Ryan, O.d., Ltd. | 611 Della St, Tappahannock, VA 22560-0966 |
| John L Press | Optometry | William G. Ryan, O.d., Ltd. | 611 Della St, Tappahannock, VA 22560-0966 |
| Joon Suk Hwang | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
| April S Nizami | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
| Ronald M Landess | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
| Jill T Lewis | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
| Ralph Russell Lewis Jr. | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
| Phyllis G Eberline | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
| John Battista Maggioncalda | Urology | Riverside Physician Services Inc | 668 Hospital Rd B, Tappahannock, VA 22560-5000 |
| Alvaro A Puig-rodriguez | Internal Medicine | Riverside Physician Services Inc | 618 Hospital Rd, Tappahannock, VA 22560-5000 |
| Find all physicians in zip 22560 | |||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TAPPAHANNOCK + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Michael E 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.