Dorothy H Kelly, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36427 Issued in MA

Practice address

18 Hospital Dr
D/B/a: Western Mass Pediatrics
Holyoke, MA 01040-6606

Phone

(413) 534-2800

Fax

(413) 534-2801

NPI assigned

Apr 7, 2006

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1417910977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW ROAD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-533-3470",
            "fax_number": "413-533-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOSPITAL DR",
            "address_2": "D/B/A: WESTERN MASS PEDIATRICS",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406606",
            "telephone_number": "413-534-2800",
            "fax_number": "413-534-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DOROTHY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "12937",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "36427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110036951A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Marie Keenan
• Gillian E Keenan
• Keenan, Malladi & O'Neill, P.C.
• Tara Jordan Kele, PMHNP-BC
• Ann Marie Kelley, LCSW
• Jane Beatrice Kelsey, RNC
• Emma Yanitza Kendall, COTA/L
• Joanne M. Kennedy, RNC-FNP
• Judith Kennedy
• Colleen Kent

• Pediatrics Physician in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.