Ian a Kellman MD LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IAN A KELLMAN MD LLC

Practice address

880 State RT. 6 W
Tyler Mem Hosp
Tunkhannock, PA 18657

Phone

(570) 988-0925

Fax

(570) 988-0919

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ian Kellman, MD

Title

Owner

Phone

(570) 988-0925

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Bonier, DO

  • Diagnostic Radiology Physician
  • Marlton, NJ
  • NPI 1336140920
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1629027776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120246",
            "telephone_number": "570-988-0925",
            "fax_number": "570-988-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 STATE RT. 6 W",
            "address_2": "TYLER MEM HOSP",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-988-0925",
            "fax_number": "570-988-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN A KELLMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "KELLMAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-988-0925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CJ9716",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018508240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry A Harvey, CRNA
• Paul J Herbener, D.C.
• Gerard J Hildebrand, OD
• Emily Hotaling
• Donald F Hull III, MD
• Balsam Itani, DPT
• Elissa Lee Jacob
• Alfred Stephen Jaskulski, D.M.D.
• Kirsten A Jervis, O.D.
• David Robert Jones, PA-C

• Diagnostic Radiology Physician in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.