William Duane Kelley Jr., DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC008987 Issued in PA

Practice address

100 McLay Dr
Elizabeth, PA 15037-2362

Phone

(412) 751-6601

Fax

(412) 751-6603

NPI assigned

Jan 23, 2007

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 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Absolute Back and Health Center DC PC

  • Rehabilitation Chiropractor
  • Elizabeth, PA
  • NPI 1144494782
  NPD (past) Authorized official
• Allegheny Physical Medicine

  • Acupuncturist
  • Bethel Park, PA
  • NPI 1457709974
  NPD (past)
• Allegheny Physical Medicine PC

  • Chiropractor
  • Bethel Park, PA
  • NPI 1699798918
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1750436713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 OLD HILLS RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151352134",
            "telephone_number": "412-751-6601",
            "fax_number": "412-751-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCLAY DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372362",
            "telephone_number": "412-751-6601",
            "fax_number": "412-751-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC008987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001646760",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTHCARE",
            "identifier": "1538137",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "416725",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY NETWORK",
            "identifier": "1040680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "20-1630496",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7909778",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5006597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "651314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "322175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED RAILROAD",
            "identifier": "P0000914",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Wayne Higgins, P.T.
• Ingrid Aaltje-Atje Holman, M.D.
• Rebecca Anne Hrvatin, PT
• James T. Campagna,MD,PC
• Jeff a. Biddle DC
• Mark Alan Kramer, RPH
• Megan Elizabeth Krusienski
• Lincoln Boro VFR Co Ambulance
• Miranda Makkar, LCSW
• Kasey Ann Martik

• Rehabilitation Chiropractor in Elizabeth, PA
• Providers in Elizabeth, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.