JON A KELLY DPM NPI 1144437740

NPI Information

NPI: 1144437740
Provider Name: JON A KELLY DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1601 LINCOLN WAY
WHITE OAK, PA
ZIP 15131
Phone: (412) 673-9222
Get Directions

JON A KELLY DPM is a foot and ankle surgery podiatrist in White Oak, PA. JON A KELLY DPM NPI is 1144437740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 LINCOLN WAY
WHITE OAK, PA
ZIP 15131-720
Phone: (412) 673-9222
Fax: (412) 673-0022

The provider's authorized official is Jon A. Kelly .
The authorized official title is Owner And Operator and has the following contact phone number (412) 673-9222.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 11/1/2010.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC003063L	PENNSYLVANIA	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	069369	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	GROUP PROVIDER
2	0010971010011	MEDICAID	PENNSYLVANIA
3	139179	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	INDIVIDUAL PROVIDER
4	1396761268	OTHER	PENNSYLVANIA	INDIVIDUAL NPI
5	T29509	MEDICARE UPIN	PENNSYLVANIA
6	602340	OTHER	PENNSYLVANIA	HIGHMARK GROUP NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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