DR. JOSEPH E KELLEY M.D. NPI 1831183565

NPI Information

NPI: 1831183565
Provider Name: DR. JOSEPH E KELLEY, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
979 E 3RD ST
STE 300
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 267-0466
Get Directions

DR. Joseph E Kelley, M.D. is a pediatric surgery surgery in Chattanooga, TN. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Joseph E Kelley, M.D. NPI is 1831183565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

979 E 3RD ST
STE 300
CHATTANOOGA, TN
ZIP 37403-136
Phone: (423) 267-0466
Fax: (423) 757-0775

The NPI 1831183565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 2/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		MD19975	TENNESSEE	No
2	2086S0120X	Surgery	Pediatric Surgery	MD19975	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00630704A	MEDICAID	GEORGIA
2	009909710	MEDICAID	ALABAMA
3	2607892 001	OTHER		CIGNA
4	183541	OTHER		BCBS OF TN
5	2535788	MEDICAID	OHIO
6	62165877422	OTHER		JDH
7	3060412	MEDICAID	TENNESSEE
8	790568Q	MEDICAID	NORTH CAROLINA
9	020029189	OTHER		RR MEDICARE
10	1740072	OTHER		UHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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