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MARTIN J KELLY CRNA NPI 1851575476


NPI Information

NPI: 1851575476
Provider Name: MARTIN J KELLY, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
2710 RIFE MEDICAL LN
ROGERS, AR
ZIP 72758
Phone: (913) 642-4900
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Martin J Kelly, CRNA is a nurse anesthetist certified registered in Rogers, AR with 17 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Martin J Kelly, CRNA NPI is 1851575476. 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:

2710 RIFE MEDICAL LN
ROGERS, AR
ZIP 72758-452
Phone: (913) 642-4900
Fax: (913) 381-0979

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)

The enumeration date for this NPI number is 12/18/2007 and was last updated on 11/7/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredC002728ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1604337200OTHERARKANSASDOL
25V105C741MEDICARE PINARKANSAS
35V105OTHERARKANSASBCBS
4P00849069OTHERARKANSASRR
5176438001MEDICAIDARKANSAS

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: 4/28/2024

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