Organization Active NPI

Julie Kelch MD PA

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1972776128
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48826 Issued in FL
Legal business name
JULIE KELCH MD PA
Practice address
616 Universal Dr
Tallahassee, FL 32303-4787
Phone
(850) 385-1839
Fax
(850) 386-8371
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Julie Kelch, M.D.NPI 1427014315
Title
Owner
Phone
(850) 385-1839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME48826 FL Primary

Addresses

Primary practice location

616 Universal Dr
Tallahassee, FL 32303-4787

Mailing address

616 Universal Dr
Tallahassee, FL 32303-4787
Phone (850) 385-1839

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1972776128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 UNIVERSAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034787",
            "telephone_number": "850-385-1839",
            "fax_number": "850-386-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 UNIVERSAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034787",
            "telephone_number": "850-385-1839",
            "fax_number": "850-386-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE KELCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "KELCH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-385-1839",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.