TRACY KELLAM
NPI 1104498344
Contractor in Youngstown, OH
- Individual
- Female
- Contractor
About TRACY KELLAM
This page provides the complete NPI Profile along with additional information for Tracy Kellam, a provider established in Youngstown, Ohio with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1104498344 assigned on July 2021. The practitioner's primary taxonomy code is 171W00000X with license number 0325993 (OH). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1104498344 Verify this NPI
- Provider Name
- TRACY KELLAM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4120 EUCLID BLVD YOUNGSTOWN, OH 44512
- Location Phone
- (330) 984-1505
- Mailing Address
- 4120 EUCLID BLVD YOUNGSTOWN, OH 44512
- Mailing Phone
- (330) 984-1505
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-16-2021
- Last Update Date
- 07-16-2021
- Code Navigator
Location Map
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
Contractor
- Taxonomy Code
- 171W00000X
- Type
- Other Service Providers
- License No.
- 0325993
- License State
- OH
- Taxonomy Description
- For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 0325993 | MEDICAID (05) | OH |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104498344, enumerated as an "individual" on July 16, 2021.
The provider is located at 4120 EUCLID BLVD YOUNGSTOWN, OH 44512 and the phone number is (330) 984-1505.
Contractor with taxonomy code 171W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
