George John Kelen, M.D., F.A.C.C.

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

License

4301079843 Issued in MI

Practice address

102 E Ludington Ave
Ludington, MI 49431-2191

Phone

(231) 425-4590

Fax

(231) 425-4588

NPI assigned

Sep 20, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Harry T Colfer Cardiac Consultants

  • Preferred Provider Organization
  • Petoskey, MI
  • NPI 1790718823
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1548255128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312191",
            "telephone_number": "231-425-4590",
            "fax_number": "231-425-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312191",
            "telephone_number": "231-425-4590",
            "fax_number": "231-425-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEN",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "MI",
            "license": "4301079843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4579580",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn L Kane, AT, ATC
• Kang Hoon Lee MD PC
• Jeanne Ann Kavanagh, OTR/L
• Arica Keeley
• Marc Elwin Keen, M.D.
• Michael Scott Kennedy, M.D.
• Kenneth C. Hill, M. D., P. C.
• Kent Vision Centers Inc
• Kerry M. Simon, M.D., P.C.
• Rodney Lee Kilpatrick, D.O.

• Cardiovascular Specialist/Technologist in Ludington, MI
• Providers in Ludington, MI by specialty
• Cardiovascular Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.