Thomas Joseph Kelly II, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34-008270 Issued in OH

Practice address

2104 Golfview Dr NE
New Philadelphia, OH 44663-9700

Phone

(330) 343-7275

Fax

(330) 343-7275

NPI assigned

Aug 31, 2009

Last updated

Aug 31, 2009By the provider in NPPES

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

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1316170988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-343-3311",
            "fax_number": "330-364-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GOLFVIEW DR NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639700",
            "telephone_number": "330-343-7275",
            "fax_number": "330-343-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34-008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Kaser, ATC
• Jocelynn Lorraine Kataro, LSW
• Tiffany Grace Keating, OD
• Stephanie Keen
• David Ray Kellogg II, MASSAGE THERAPIST
• Julie H Kendrick
• Samantha Kerns
• Susan Kerr
• Brienne Kilpatrick, DPT
• Kindra S. Browning, DO Corporation

• Ophthalmology Physician in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.