James David Kielek, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C00616 Issued in MD

Practice address

9101 Franklin Square Dr
Baltimore, MD 21237-3936

Phone

(443) 777-2002

Fax

(443) 777-2034

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

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.

• Franklin Square Hospital Center, Inc.

  dba MedStar Orthopedics

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1952722837
  NPD (past)
• Helixcare Medical Group, LLC

  dba MedStar Physician Partners-Specialits at St. Mary's

  • Urology Physician
  • Mechanicsville, MD
  • NPI 1164725529
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447274634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 LANDOVER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372922",
            "telephone_number": "410-574-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "443-777-2002",
            "fax_number": "443-777-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELEK",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C00616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Kidorf, PH.D.
• Kids First PT, LLC (Kids First Physical Therapy)
• Corey Kidwell
• Earl Kidwell Jr., MD
• Monica Kiefer
• James David Kielek Jr., PA-C
• Kim Luise Kiernan, M.S. CCC-SP
• Ana Ponce Kiess, M.D., PH.D.
• Tam Minh Kieu, MD
• Baila Kiewe

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.