MARISE KELLY (NPI# 1124056304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124056304 |
| Entity Type | Individual |
| Full Name | MARISE KELLY |
| Credential | M.D. |
| Practice Address |
900 Broadway St Houston TX 77012-2127 |
| Practice Telephone | 7139292774 |
| Practice Fax Number | 7139282781 |
| Mailing Telephone | 7139292774 |
| Mailing Fax Number | 7139282781 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J9727 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135146201 | 05 | |
| TX | 135146208 | 05 |
| Street Address |
900 BROADWAY ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77012-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790010064 | Marise Kelly, M.d., P.a. | Family Medicine | 900 Broadway St, Houston, TX 77012-2127 | 2009-10-05 |
| 1427284017 | Nsuela Rosy Mukana | Family Medicine | 900 Broadway St, Houston, TX 77012-2127 | 2009-06-09 |
| 1376702233 | J Mario Velasquez Dds | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-06-05 |
| 1447418223 | Carlos A Sierra | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-05-28 |
| 1922274703 | Mauricio Recinos | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-05-01 |
| 1871769836 | Steven A Ware | Psychiatry & Neurology | 900 Broadway St, Houston, TX 77012-2127 | 2008-04-30 |
| 1659588820 | Dental Innovations | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2007-05-17 |
| 1881789022 | Maritime Pharmacy | Pharmacist | 900 Broadway St, Houston, TX 77012-2127 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831626019 | Pharmacy | Pharmacy | 7612 Canal St, C, Houston, TX 77012 | 2017-05-18 |
| 1710295688 | Kellie Chen | Social Worker | 7635 Canal St, Houston, TX 77012-1143 | 2010-09-14 |
| 1245556885 | El Centro De Corazon | Clinic/Center | 7635 Canal St., Houston, TX 77012-1143 | 2010-04-07 |
| 1083034268 | Maria Luisa Revert Font | Pediatrics | 7635 Canal St, Houston, TX 77012-1143 | 2014-04-26 |
| 1689912743 | Angela Cecilia Medina | Counselor | 7635 Canal St, Houston, TX 77012-1143 | 2013-01-24 |
| 1649532037 | El Centro De Corazon | Community/Behavioral Health | 7635 Canal St, Houston, TX 77012-1143 | 2012-06-12 |
| 1235416066 | Nereida Berlanga Martinez | Counselor | 7635 Canal St, Houston, TX 77012-1143 | 2011-11-08 |
| 1306125687 | Ermy J Soto | Dietitian, Registered | 7635 Canal St, Houston, TX 77012-1143 | 2011-08-04 |
| 1487979597 | Canal Healthcare Solutions LLC | Pharmacy | 7648 Canal St, Houston, TX 77012-1144 | 2010-03-31 |
| 1467858175 | Jessica Marie Ginn | Nurse Practitioner | 8329 Lawndale St, Houston, TX 77012-3707 | 2014-11-06 |
| Find all providers in zip 77012 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1871100032 | Umedly | Family Medicine | 708 Main St Fl 10, Houston, TX 77002-3246 | 2020-09-30 |
| 1255945010 | Steven X Nguyen Inc | Family Medicine | 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 | 2020-08-31 |
| 1871105023 | Health Right Choice | Family Medicine | 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 | 2020-08-19 |
| 1275145625 | Global Health Equity Pllc | Family Medicine | 1232 Westheimer Rd, Houston, TX 77006-2641 | 2020-08-18 |
| 1083223804 | Patricia Nmukoso Enyi | Family Medicine | 2646 S Loop W Ste 270, Houston, TX 77054-5608 | 2020-07-28 |
| 1972121416 | Community Medical Clinic LLC | Family Medicine | 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 | 2020-07-10 |
| 1164048526 | Clinica San Lucas Fuqua | Family Medicine | 11019 Fuqua St, Houston, TX 77089-2510 | 2020-06-22 |
| 1699397240 | Urgent Health Solutions Woodlake | Family Medicine | 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 | 2020-05-16 |
| 1649899964 | Lermnaim LLC | Family Medicine | 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 | 2020-04-16 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MARISE KELLY.
| 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.