Timothy F. Kelly,M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TIMOTHY F. KELLY,M.D., P.A.

Practice address

1840 Mease Dr
Suite 406
Safety Harbor, FL 34695-6602

Phone

(727) 712-8222

Fax

(727) 712-8229

NPI assigned

Nov 9, 2010

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy F. Kelly, M.D.NPI 1184606816

Title

President

Phone

(727) 712-8222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy F Kelly, M.D.

  • Dermatology Physician
  • Safety Harbor, FL
  • NPI 1184606816
  Authorized official Same address or phone

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1326349200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 406",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-712-8222",
            "fax_number": "727-712-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 406",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-712-8222",
            "fax_number": "727-712-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY F. KELLY,M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-712-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindu A Thomas, MD
• Shelby D Thompson
• Daniel Lee Thorngren III, M.D.
• Tiffany L. Werhner, Ms, LMHC, PA
• Jackson E. Tillquist, ARNP
• Timothy J Dixon DDS
• Jacqueline C Tinny, ARNP CNM
• Karen Todaro
• Shannon O'Shea Toliver, APRN, MSN, FNP-C
• Giachino J Tomasino, MD

• Dermatology Physician in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.