MR. JEFFREY J KELLOGG PA MBA NPI 1215925011

NPI Information

NPI: 1215925011
Provider Name: MR. JEFFREY J KELLOGG, PA, MBA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHWESTERN VERMONT MEDICAL CENTER INC

PECOS Registration: Yes

Address:
510 NORTH ST
PITTSFIELD, MA
ZIP 01201
Phone: (413) 499-2921
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MR. Jeffrey J Kellogg, PA, MBA is a medical physician assistant in Pittsfield, MA with 14 years of experience. MR. Jeffrey J Kellogg, PA, MBA NPI is 1215925011. 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:

510 NORTH ST
PITTSFIELD, MA
ZIP 01201-493
Phone: (413) 499-2921

The NPI 1215925011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 9/25/2019.

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	363A00000X	Physician Assistant		1520	MASSACHUSETTS	No
2	363AM0700X	Physician Assistant	Medical	1520	MASSACHUSETTS	Yes

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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