Ellen Marie Kelly, PA-C
Ellen Marie Kelly, PA-C is a Physician Assistant in Wooster, Ohio. Qualified in 2017, 9 years ago. Practices with Bloomington Medical Services LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 9
- Licensed in
- OH
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3373 Commerce Pkwy Ste 2Wooster, OH 44691-7130
Phone: (330) 804-9712
Fax: (330) 804-9811
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 50.005148RX (OH) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X (OH) |
Record details
| NPI number | 1558899237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 25, 2017 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Bloomington Medical Services Llc — 106 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Wooster
-
Raymond Eshenaur, PA-C, ATC
3373 Commerce Pkwy 2, Wooster, OH 44691-7130 · (330) 804-9712