Active NPI
Kelly a. Palumbo M.D. P.C.
- Obstetrics & Gynecology Physician
- New Castle, PA
National Provider Identifier
1871564591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD068307L
- Legal business name
- KELLY A. PALUMBO M.D. P.C.
- Practice address
- 219 W Fairmont Ave
New Castle, PA 16105-1909 - Phone
- (724) 654-3222
- Fax
- (724) 654-9140
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly Ann Palumbo, M.D.
- Title
- President
- Phone
- (724) 654-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD068307L | PA | Primary |
Addresses
Primary practice location
219 W Fairmont Ave
New Castle, PA 16105-1909
Mailing address
219 W Fairmont Ave
New Castle, PA 16105-1909
Phone (724) 654-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012729200001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1906 Wilmington Rd
New Castle, PA 16105
Phone (724) 654-3182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1871564591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W FAIRMONT AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051909",
"telephone_number": "724-654-3222",
"fax_number": "724-654-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W FAIRMONT AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051909",
"telephone_number": "724-654-3222",
"fax_number": "724-654-9140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY A. PALUMBO M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "PALUMBO",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-654-3222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD068307L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012729200001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.