Jon a Kelly DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC003063L Issued in PA

Legal business name

JON A KELLY DPM

Practice address

1601 Lincoln Way
White Oak, PA 15131-1720

Phone

(412) 673-9222

Fax

(412) 673-0022

NPI assigned

May 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon A. Kelly, D.P.M.

Title

Owner and Operator

Phone

(412) 673-9222

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa A. Manning, D.P.M

  • Podiatrist
  • White Oak, PA
  • NPI 1093886566
  NPD (past)
• Michael Veltre, DPM

  • Podiatrist
  • White Oak, PA
  • NPI 1376627851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1144437740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311720",
            "telephone_number": "412-673-9222",
            "fax_number": "412-673-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311720",
            "telephone_number": "412-673-9222",
            "fax_number": "412-673-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A KELLY DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "412-673-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003063L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010971010011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396761268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "602340",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kareem Idrees, M.D.
• Mikayla Jennewine
• Jonathan James Jiancristoforo, P.T.
• Zachary Nathaniel Johns
• Nicole Johnson
• Bailey Julian, DPT
• Witold R. Jurewicz, M.D.
• Cara L Karls
• Hannah C Kauffman, DPT
• Susan Diane Keefe, PHARMACIST

• Foot & Ankle Surgery Podiatrist in White Oak, PA
• Providers in White Oak, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.