Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881259653 Individual Practitioner Male Practitioner

John Paul Kelley , PA

Physician Assistant • Odenton, MD

Professional Overview & Biography Verified Profile Summary

John Kelley, PA is a registered healthcare professional specializing in Physician Assistant in Odenton, MD. Practice services are available at 1130 ANNAPOLIS RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1130 Annapolis Rd Ste 100

Odenton, MD 211131622

Telephone 4106722255
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odenton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Odenton, MD (3255 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0007181

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

41680 Miss Bessie Dr Ste 303

Leonardtown, MD 206502965

Phone: 4106722255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Daniel Ezidiegwu

Physical Medicine & Rehabilitation

NPI 1184159444
Alexandra Laurence , PA-C

Physician Assistant

NPI 1295304319

Physician Assistant (Certified)

Dr. Janak Vidyarthi , MD

Pain Medicine - Interventional Pain Medicine

NPI 1619170685

Doctor of Medicine (M.D.)

Amanda Jackiewicz , PA-C

Physician Assistant

NPI 1730601949

Physician Assistant (Certified)

Victoria Mora , PA-C

Physician Assistant

NPI 1780310235

Physician Assistant (Certified)

Jeremy Scranton , PA-C

Physician Assistant - Medical

NPI 1821760166

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2019

Registered at 1130 ANNAPOLIS RD STE 100, ODENTON, MD 211131622 (Tel: 4106722255)

📍
Updated Business Mailing Address May 07, 2019

Registered at 23555 BROWN RD, HOLLYWOOD, MD 206363232 (Tel: 2404346104)

👤
Provider Name / Credentials Updated May 07, 2019

Recorded as JOHN KELLEY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Physician Assistant (License #C0007181 in MD)

🟢
Initial NPI Registration & Enumeration May 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881259653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2019
Last Update: May 07, 2019
Sole Proprietor: No

Mailing Address

23555 Brown Rd

Hollywood, MD 206363232

Phone: 2404346104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.