DAVID C KELLY


Address: Ben Hogan Center, 800 5th Ave., Suite 410, Fort Worth, TX 76104
Phone: 8173326092

DAVID C KELLY (NPI# 1154348753) 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) 1154348753
Entity Type Individual
Full Name DAVID C KELLY
Credential PA
Practice Address Ben Hogan Center
800 5th Ave., Suite 410
Fort Worth
TX 76104
Mailing Address Po Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8173326092
Practice Fax Number 8173326015
Mailing Telephone 8177408400
Mailing Fax Number 8173326015
Enumeration Date 2006-07-17
Last Update Date 2010-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA02492 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00416662 01
TX 181681101 05

Other Providers DAVID KELLY

NPI Name Taxonomy Address Enumeration
1386264760 David Arnold Kelly Student in an Organized Health Care Education/Training Program 417 Ne 1st Ter, Oklahoma City, OK 73104-4056 2020-04-25
1558714238 David Kelly Nurse Practitioner 101 Fornum Dr, Grovetown, GA 30813-2697 2016-07-19
1053727040 David Adam Kelly Pharmacist 1401 S Quintard Ave, Anniston, AL 36201-8248 2014-07-10
1821259722 David Alexander Kelly Plastic Surgery 14275 N 87th St Ste 110, Scottsdale, AZ 85260-3696 2008-06-23
1104014299 David Charles Kelly Jr. Radiologic Technologist 8915 Cherry St, Blue Ash, OH 45242-7846 2007-10-15
1508057845 David M Kelly Prosthetist 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 2007-08-01
1902969843 David P Kelly Dentist 3275 W Ina Rd Ste 101, Tucson, AZ 85741-2152 2006-12-19
1124048491 David Randolph Kelly Dentist 1941 Euclid Ave, Bristol, VA 24201-3607 2006-07-20
1184618910 David Kelly Specialist 275 Sandwich St, Plymouth, MA 02360-2183 2005-09-08
1699308296 David Andrew Kelly Counselor 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 2020-02-21

Office Location

Street Address BEN HOGAN CENTER
800 5TH AVE., SUITE 410
City FORT WORTH
State TX
Zip Code 76104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811596927 Emily Lau Physician Assistant 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 2020-10-20
1629681952 Anum Bashwani Physician Assistant 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 2020-08-26
1780200881 Emily Brown Holloway Physician Assistant 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 2020-06-24
1679196570 Maria Cristela Mosso Physician Assistant 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 2020-05-26
1679195978 Jacob Torre Physician Assistant 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 2020-05-11
1871122382 Kenaud Jeune Physician Assistant 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 2020-04-06
1922635648 Lauren Elizabeth Studey Physician Assistant 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 2020-03-24
1033743612 James Bregg Reedy Physician Assistant 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 2020-02-24
1992335194 Alexandria Christine Rios Physician Assistant 5904 Rockhill Rd, Fort Worth, TX 76112-3047 2020-01-16
1982253605 Kelly Ann Klein Physician Assistant 6708 River Bend Rd, Fort Worth, TX 76132-1108 2019-09-05
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

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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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