KELLY J SMITH MD PA (NPI# 1083829139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083829139 |
| Entity Type | Organization |
| Organization Name | KELLY J SMITH MD PA |
| Other Organization Name | CHILDREN'S ASTHMA, SLEEP & PULMONARY INSTITUTE |
| Practice Address |
5282 Medical Dr Suite 120 San Antonio TX 78229-4849 |
| Practice Telephone | 2106153700 |
| Practice Fax Number | 2106153701 |
| Mailing Telephone | 2106153700 |
| Mailing Fax Number | 2106153701 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. KELLY J SMITH (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2106153700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
M3394 | TX | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
M3394 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191771801 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Asthma, Sleep & Pulmonary Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780886457 | Kelly J Smith Md Pa | Pediatrics | 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849 | 2007-06-04 |
| Street Address |
5282 MEDICAL DR SUITE 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344014 | Jean T Murphree | Allergy & Immunology | 5282 Medical Dr, Ste 500, San Antonio, TX 78229-6071 | 2005-05-24 |
| 1083248082 | Kimberly Mcdow | Nurse Practitioner | 5282 Medical Dr, San Antonio, TX 78229-4849 | 2020-02-27 |
| 1548709074 | Deborah Nobles | Physician Assistant | 5282 Medical Dr, Suite 110, San Antonio, TX 78229-4849 | 2017-02-16 |
| 1215473798 | Robert G. Nobles IIi Md Pa | Physician Assistant | 5282 Medical Dr, Suite 110, San Antonio, TX 78229-4849 | 2017-01-09 |
| 1700253044 | Leigh Van Osselaer | Physician Assistant | 5282 Medical Dr, Suite 250, San Antonio, TX 78229-4849 | 2015-08-21 |
| 1508259870 | Sarah Eizabeth Burdick | Nurse Practitioner | 5282 Medical Dr, Suite 206, San Antonio, TX 78229-4849 | 2015-03-11 |
| 1548650658 | Michelle Ann Anderson | Community Health Worker | 5282 Medical Dr, 140, San Antonio, TX 78229-4849 | 2015-01-27 |
| 1366849275 | Hear Lab Inc. | Audiologist | 5282 Medical Dr, Ste: 150, San Antonio, TX 78229-4849 | 2014-11-21 |
| 1013352913 | Jacob Erickson | Pain Medicine | 5282 Medical Dr, San Antonio, TX 78229-4849 | 2013-05-06 |
| 1477898088 | M Kathleen Canty | Clinical Nurse Specialist | 5282 Medical Dr, Suite 206, San Antonio, TX 78229-4849 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
| 1306953302 | Victor German | Pediatrics | 333 N Santa Rosa Ave Rm F2658, San Antonio, TX 78207-3108 | 2006-08-24 |
| 1215991641 | Daniel A Deane | Pediatrics | 339 Elizabeth Rd, San Antonio, TX 78209-5960 | 2006-04-13 |
| 1801187323 | Daniel A. Deane, Md, Pa | Pediatrics | 7922 Ewing Halsell Dr, Ste 260, San Antonio, TX 78229-3786 | 2011-05-02 |
| 1518294594 | Trang Nguyen Bui | Pediatrics | 903 W Martin St, San Antonio, TX 78207 | 2009-11-11 |
| 1568629327 | Lee Kirchner Md Pa | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2008-05-20 |
| 1689861007 | Filomena Hazel Rocha Villa | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-09-30 |
| 1780886457 | Kelly J Smith Md Pa | Pediatrics | 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849 | 2007-06-04 |
| 1528198405 | Kelly J Smith | Pediatrics | 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 | 2007-03-07 |
| 1952483166 | Amanda Mary Dove | Pediatrics | 5282 Medical Dr, Suite 540, San Antonio, TX 78229-6071 | 2006-10-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.