Michael H. Kelley, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TL1223 Issued in SC

Practice address

3361 Highway 9 E
Little River, SC 29566-7826

Phone

(843) 497-5929

Fax

(843) 399-3494

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Wellness One, LLC

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1427353085
  NPD (past)
• DHSC LLC

  • General Acute Care Hospital
  • Massillon, OH
  • NPI 1215980560
  NPD (past)
• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034
  NPD (past)
• Vincent E. Perkowski, D.O., LLC

  • Family Medicine Physician
  • Massillon, OH
  • NPI 1528247657
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1871661645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 OLEANDER DR",
            "address_2": "SUITE 201A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775741",
            "telephone_number": "843-497-5929",
            "fax_number": "843-497-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667826",
            "telephone_number": "843-497-5929",
            "fax_number": "843-399-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-003256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Regina Kalin, L.M.T.
• Amanda Bullock Kanipe, FNP-BC
• Dan M Kass, M.D.
• Latisha Kearsley, DDS
• Bradley James Keefer, DPM
• Matthew Wyland Kellner, MD
• Erika Jae Kennard, M.S.
• Ellen Cecil King, LPC
• Merritt H. King III, MD
• Knight Family Legacy LLC

• Family Medicine Physician in Little River, SC
• Providers in Little River, SC by specialty
• Family Medicine Physician in South Carolina

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

Verify at the official NPI Registry.