STEPHEN B. KELLY


Address: 5101 W Memorial Rd, Oklahoma City, OK 73142-2018
Phone: 4057529600

STEPHEN B. KELLY (NPI# 1134167455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134167455
Entity Type Individual
Full Name STEPHEN B. KELLY
Other Name S. BLAKE KELLY
Credential M.D.
Practice Address 5101 W Memorial Rd
Oklahoma City
OK 73142-2018
Practice Telephone 4057529600
Practice Fax Number 4057529650
Mailing Telephone 4057529600
Mailing Fax Number 4057529650
Enumeration Date 2006-06-02
Last Update Date 2011-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 21242 OK Allopathic & Osteopathic Physicians

Other Providers STEPHEN KELLY

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1861023343 Stephen M Kelly Specialist/Technologist N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 2020-02-03
1235781584 Stephen Kelly Student in an Organized Health Care Education/Training Program 2114 E Pinnacle Terrace Way Apt 302, Cottonwood Heights, UT 84121-5086 2019-07-16
1457601098 Stephen Patrick Kelly Mechanotherapist 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 2012-09-11
1558504258 Stephen Michael Kelly Emergency Medicine 333 Grand St, Ed - Jersey City Medical Center, Jersey City, NJ 07302-4319 2009-04-09
1245367663 Stephen Michael Kelly Internal Medicine 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 2007-02-27
1770652349 Stephen Michael Kelly Optometrist 851 Cherry Ave, Bayhill Center #25, San Bruno, CA 94066-2900 2006-11-07
1699722504 Stephen Kelly Physical Therapist 80 Mill St, 1, Newton, NJ 07860-1411 2006-05-27
1689678518 Stephen Kelly Chiropractor 403 S 3rd St, Youngwood, PA 15697-1154 2005-06-09
1457876310 Stephen Michael Kelly Registered Nurse 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 2017-08-11
1023321304 Stephen Michael Kelly Nurse Anesthetist, Certified Registered 2021 Perdido St, New Orleans, LA 70112-1352 2010-07-15

Office Location

Street Address 5101 W MEMORIAL RD
City OKLAHOMA CITY
State OK
Zip Code 73142-2018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003816364 John Alan Fuller Obstetrics & Gynecology 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 2005-07-28
1760953418 Angela Kaye Quick Nurse Practitioner 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 2018-12-06
1184893000 Karie Leigh Stewart Nurse Practitioner 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 2008-02-25
1790974103 Lara Jean Easterwood Nurse Practitioner 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 2007-10-22
1639211261 Graciela Gallardo Family Medicine 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 2007-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184003790 Advance Physicians Group LLC Clinic/Center 13401 N Macarthur Blvd, Oklahoma City, OK 73142 2015-05-28
1366840084 Lindsey Jackson Case Manager/Care Coordinator 12051 Parkland Pl, Oklahoma City, OK 73142 2014-12-11
1164866737 Vitality Wellness Clinic/Center 5740 Nw 135th St., Oklahoma City, OK 73142 2013-04-25
1356694558 Joel Mitchell Sprinkle Community Health Worker 13100 Brandon Pl, Oklahoma City, OK 73142 2012-10-25
1689923856 Sampson Mcsidney Case Management 14717 Hollyhock Dr, Oklahoma City, OK 73142 2012-09-04
1992087860 Derek Reed Mccarver Pharmacist 1400 E. 2nd St, Edmond, OK 73142 2011-09-15
1326335811 Laser Spine Surgery Center of Oklahoma, LLC Clinic/Center 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 2011-07-05
1215220801 James Kenneth Fisher Psychologist 12522 Abbotts Way, Oklahoma City, OK 73142 2011-05-16
1174850408 Diagnostic Laboratory of Oklahoma, LLC Clinical Medical Laboratory 5911 West Memorial Road, Oklahoma City, OK 73142 2009-11-06
1417113275 Reuben Seth Thomas Optometrist 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 2008-07-31
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039632 Axiom Medical Solutions, LLC Family Medicine 14132 Se 134th St, Oklahoma City, OK 73165-7669 2020-09-28
1104437219 L and M Investments LLC Family Medicine 6001 Nw 139th St, Oklahoma City, OK 73142-1919 2020-08-12
1235748617 Brook Noel Leland Family Medicine 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 2020-07-30
1043835176 Thomas Patrick Owens IIi Family Medicine 900 Ne 10th Street, Oklahoma City, OK 73104-5420 2020-06-15
1730703562 Michael Williamson Family Medicine 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 2020-06-08
1295363620 Saint Medical Group, LLC Family Medicine 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 2020-03-31
1881220580 Sarah Laing Family Medicine 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 2020-03-14
1881225290 Neans Lynn Denson Family Medicine 2815 Sw 119th St, Oklahoma City, OK 73170-2605 2020-02-04
1114563699 Aim Health Clinics, LLC Family Medicine 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 2019-11-20
1841843265 Stephanie N White Family Medicine 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 2019-07-24
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73142

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Dataset Information

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.

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