DR. STEPHEN MICHAEL KELLY (NPI# 1245367663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245367663 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MICHAEL KELLY |
| Credential | MD |
| Practice Address |
1501 River Pointe Dr Ste 240 Conroe TX 77304-2861 |
| Practice Telephone | 9367601900 |
| Practice Fax Number | 9364411907 |
| Mailing Telephone | 9367601900 |
| Mailing Fax Number | 9364411907 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
F9659 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1144800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1205059169 | Stephen J Kelly | Ophthalmology | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2007-04-10 |
| Street Address |
1501 RIVER POINTE DR STE 240 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962539155 | Conroe-woodlands Gastroenterology, P.a. | Internal Medicine | 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033439781 | Lakeside Gastroenterology and Liver Specialists, Pllc | Internal Medicine | 690 S Loop 336 W Ste 215, Conroe, TX 77304-3322 | 2010-06-04 |
| 1760436182 | Nelson Atembe Tajong | Internal Medicine | 690s Loop 336 W, Ste 215, Conroe, TX 77304-3322 | 2006-05-20 |
| 1154945111 | Gastroenterology of Texas, Pllc | Internal Medicine | 2510 S Loop 336 W, Ste 336, Conroe, TX 77304 | 2020-06-04 |
| 1497072227 | Matthew Timothy Clark | Internal Medicine | 2510 S Loop 336 W, Ste 336, Conroe, TX 77304 | 2010-05-04 |
| 1962539155 | Conroe-woodlands Gastroenterology, P.a. | Internal Medicine | 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 | 2007-02-27 |
| 1730299090 | Digestive and Liver Diseases Clinic Pa | Internal Medicine | 17200 St Lukes Way, Conroe, TX 77384-8007 | 2006-08-30 |
| 1326003641 | Sunil K Reddy | Internal Medicine | 1501 River Pointe Dr, Ste 220, Conroe, TX 77304-2861 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716014 | Kingwood Gastroenterology Pllc | Internal Medicine | 210 W Park Ste 100, Livingston, TX 77351-8337 | 2020-10-03 |
| 1003432543 | Dc Gastro Konsult | Internal Medicine | 11620 Pellicano Dr Ste B, El Paso, TX 79936-6250 | 2020-06-21 |
| 1851946917 | Sunbal Zafar Pllc | Internal Medicine | 3125 Matlock Rd Ste 108, Arlington, TX 76015-2905 | 2019-08-06 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1205393279 | Fatema S Uddin Md, Pllc | Internal Medicine | 601 Omega Dr Ste 201, Arlington, TX 76014-2075 | 2019-02-26 |
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1174098883 | Texas Digestive Care, Pllc | Internal Medicine | 2900 N I 35 Ste 210, Denton, TX 76201-5145 | 2018-10-09 |
| 1194208892 | El Paso Center for Pediatric Gastroenterology Pa | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2018-09-10 |
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.