JERRY R KELLEY (NPI# 1265430474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265430474 |
| Entity Type | Individual |
| Full Name | JERRY R KELLEY |
| Credential | MD |
| Practice Address |
4499 Medical Drive Sub Level 2 San Antonio TX 78229 |
| Mailing Address |
Po Box 1716 San Antonio TX 78296-1716 |
| Practice Telephone | 2105754334 |
| Mailing Telephone | 2105586288 |
| Mailing Fax Number | 2105586289 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
E6450 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174316301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3519 Paesanos Pkwy, Suite 105, San Antonio, TX 782311264 | 2105648113 | 2105648939 |
| Street Address |
4499 MEDICAL DRIVE SUB LEVEL 2 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063720381 | Charles A. Holshouser Jr, M.d. P.a. | Obstetrics & Gynecology | 4499 Medical Drive, Suite 183, San Antonio, TX 78229-3711 | 2010-09-21 |
| 1386803765 | Institute of Plastic Surgery In San Antonio, Pa | Specialist | 4499 Medical Drive, Suite 301, San Antonio, TX 78229-3713 | 2008-06-02 |
| 1699972877 | Charles T Gay Md Pa | Psychiatry & Neurology | 4499 Medical Drive, Ste 396, San Antonio, TX 78229-3713 | 2007-06-29 |
| 1528186798 | Patrick Mitchell Tolar Sr. | Obstetrics & Gynecology | 4499 Medical Drive, Suite 178, San Antonio, TX 78229-3711 | 2007-03-27 |
| 1891847893 | Joseph Michael Freiberg | Internal Medicine | 4499 Medical Drive, Suite 240 Methodist Plaza Building, San Antonio, TX 78229-3712 | 2007-01-18 |
| 1194886796 | Pedicatric Cardiology Associates | Pediatrics | 4499 Medical Drive, Suite 272, San Antonio, TX 78229-3712 | 2006-12-13 |
| 1487741492 | Dorothea Rene Saenger | Obstetrics & Gynecology | 4499 Medical Drive, Suite 191, San Antonio, TX 78229-3774 | 2006-10-10 |
| 1720183312 | Marissa N Largoza | Obstetrics & Gynecology | 4499 Medical Drive, Suite 191, San Antonio, TX 78229-3774 | 2006-09-14 |
| 1962506022 | Patricia K Brougher | Obstetrics & Gynecology | 4499 Medical Drive, Suite 191, San Antonio, TX 78229-3774 | 2006-09-11 |
| 1760492003 | Gordon Denis Willey | Internal Medicine | 4499 Medical Drive, Suite 105, San Antonio, TX 78229 | 2006-08-09 |
| 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 | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851800361 | Physicians Wound Care Pllc | Preventive Medicine | 4499 Medical Dr Ste Sl2, San Antonio, TX 78229-3722 | 2017-09-27 |
| 1326115676 | Donald C. Frame, Md, Pa | Preventive Medicine | 910 Se Military Dr, Suite 120, San Antonio, TX 78214-2825 | 2006-11-30 |
| 1407278286 | Rrr Hyperbarics 1 | Preventive Medicine | 9150 Huebner Rd Ste 120, Box 10, San Antonio, TX 78240-1545 | 2014-01-13 |
| 1972934362 | Wound Healing Associates of Setx Pa | Preventive Medicine | 414 Navarro St, Suite 502, San Antonio, TX 78205-2516 | 2013-12-10 |
| 1700095155 | Kirsten Leigh Smith | Preventive Medicine | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2007-05-22 |
| 1801991492 | Robert North Dunn | Preventive Medicine | 9522 Huebner Rd, San Antonio, TX 78240-1548 | 2006-09-14 |
| 1942249123 | James Martin Smith | Preventive Medicine | 4499 Medical Dr, Sub-level 2, San Antonio, TX 78229-3735 | 2006-06-05 |
| 1801841804 | Professional Wound Care Services, P.a. | Preventive Medicine | 4499 Medical Dr, Sub-level 2, San Antonio, TX 78229-3735 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447321 | Central Texas Wound Healing Associates, Pllc | Preventive Medicine | 2300 Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2020-11-05 |
| 1003470618 | Healogy Group Pllc | Preventive Medicine | 401 W Campbell Rd Ste 300, Richardson, TX 75080-3416 | 2019-04-29 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1134694532 | Natividad Wound Care, LLC | Preventive Medicine | 138 Zamora Medical Cir, Eagle Pass, TX 78852-5924 | 2018-10-11 |
| 1659887248 | Rrr Hyperbarics 5, LLC | Preventive Medicine | 4150 N. Collins Street, Arlington, TX 76005 | 2017-12-19 |
| 1588179055 | Jaimi Lynne Stockstill | Preventive Medicine | 6161 N State Highway 161 Ste 310, Irving, TX 75038-2220 | 2017-12-06 |
| 1922511898 | Wound Care & Research Center of North Texas Pllc | Preventive Medicine | 502 N Valley Pkwy Ste 1, Lewisville, TX 75067-3437 | 2017-11-14 |
| 1093225518 | Dfw Wound & Hyperbarics, P.a. | Preventive Medicine | 2301 Marsh Ln Ste 200, Plano, TX 75093-8497 | 2017-10-10 |
| 1205367455 | Rrr Hyperbarics 4 | Preventive Medicine | 1720 Fm 544, Lewisville, TX 75056-4592 | 2017-03-21 |
| 1871041913 | Rrr Hyperbarics 3 LLC | Preventive Medicine | 4545 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| 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.