Adam Rosario Kelley

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

619337-93 Issued in OR

Practice address

2604 S Main Rd
Lebanon, OR 97355-2338

Phone

(541) 570-1728

Fax

(541) 405-4020

NPI assigned

May 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lebanon, OR
  • NPI 1619468907
  NPD (past) Authorized official
• Advanced Imaging, LLC

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Lebanon, OR
  • NPI 1891057493
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1225529720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 S MAIN RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552338",
            "telephone_number": "541-570-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S MAIN RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552338",
            "telephone_number": "541-570-1728",
            "fax_number": "541-405-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ADAM",
        "middle_name": "ROSARIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OR",
            "license": "619337-93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mary McMahon Kadooka, PA-C
• Corey B Kahn, DO
• David N Kamau
• Lavanya Kancherla, MSW
• Everett Anthony Keeler, RPH
• Edward L Kelso, RPH
• Evan Kepner, PT, DPT
• Keystone Therapeutic Services Inc
• Kerry Kilgore, RNFA
• Jeeyeon Kim

• Magnetic Resonance Imaging (MRI) Clinic/Center in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.