SEAN R. KELLY MD
NPI 1083685705
Physical Medicine & Rehabilitation, Sports Medicine in Bridgeport,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

4747 Main St
Bridgeport,
Post Code: 06606
Phone: (203) 372-0649
Fax: (203) 373-0376

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Sean R. Kelly Md in Bridgeport - Physical Medicine & Rehabilitation, Sports Medicine

Sean R. Kelly Md is a Physical Medicine & Rehabilitation, Sports Medicine in Bridgeport, . Sean R. Kelly Md practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation, Sports Medicine. The NPI Number for Sean R. Kelly Md is 1083685705. The last update date is 2019-03-19.

Sean R. Kelly Md's current location address is 4747 Main St, Bridgeport, . You can contact this provider via phone number (203) 372-0649 and fax number (203) 373-0376. The mailing address for Sean R. Kelly Md is 4747 Main St, Bridgeport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083685705
Provider Name
SEAN R. KELLY MD
Gender
Male
Entity Type
Individual
Location Address
4747 Main St, Bridgeport,
Location Phone
(203) 372-0649
Location Fax
(203) 373-0376
Mailing Address
4747 Main St, Bridgeport, Connecticut(CT)
Mailing Phone
203-372-0649
Mailing Fax
203-373-0376
Enumeration Date
2006-01-31
Last Update Date
2019-03-19
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
-
License No.
045878
License State
Connecticut (CT)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician

Physical Medicine & Rehabilitation, Sports Medicine

045878 (Connecticut)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083685705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631281070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201631281070
2 + 0 + 1 + 6 + 3 + 1 + 2 + 8 + 1 + 0 + 7 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1083685705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011145 MICHAEL THERRIEN
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617161 ANITA KELSEY
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617831 JANET SEGEN
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1073516969 DMITRY MIRONOV
Individual
Anesthesiology 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1003819871 RUTH C PERRY
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276