Active NPI
Kelly J Viands, PA
- Surgical Physician Assistant
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C003010
- Practice address
- 2002 Medical Parkway
Suite 430
Annapolis, MD 21401-3263 - Phone
- (443) 481-1940
- Fax
- (443) 481-1941
- NPI assigned
- Jan 4, 2007
- Last updated
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C003010 | MD | Primary |
Addresses
Primary practice location
2002 Medical Parkway
Suite 430
Annapolis, MD 21401-3263
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6467
Other names 1
- Kelly Lynch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003010 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 430
Annapolis, MD 21401
Phone (410) 266-2700
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
Interoperability endpoints
- kviands24043@direct.aahs.org
Organizations & group practices 3
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.
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba Luminis Health Digestive Disease
- Gastroenterology Physician
- Annapolis, MD
- NPI 1598598245
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1659428498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12622",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154017",
"telephone_number": "443-481-6467",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PARKWAY",
"address_2": "SUITE 430",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013263",
"telephone_number": "443-481-1940",
"fax_number": "443-481-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIANDS",
"first_name": "KELLY",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C003010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "LYNCH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.