DR. KELLY J SMITH (NPI# 1528198405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528198405 |
Entity Type | Individual |
Full Name | DR. KELLY J SMITH |
Credential | MD |
Practice Address |
4114 Pond Hill Road Suite 101 San Antonio TX 78231 |
Practice Telephone | 2102495020 |
Practice Fax Number | 2105721540 |
Mailing Telephone | 2102495020 |
Mailing Fax Number | 2105721540 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2017-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
M3394 | TX | Allopathic & Osteopathic Physicians |
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
M3394 | TX | Allopathic & Osteopathic Physicians |
N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
M3394 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 19177340-02 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
Street Address |
4114 POND HILL ROAD SUITE 101 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881695542 | Avie Avshalom Grunspan | Internal Medicine | 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 | 2005-08-03 |
1164668299 | Texas Medical and Sleep Specialists, Pllc | Internal Medicine | 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 | 2008-12-19 |
1659419349 | Lesley L Vernor | Nurse Practitioner | 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 | 2007-02-02 |
1013954221 | Tarak J Patel | Pediatrics | 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790229516 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 100, San Antonio, TX 78231 | 2016-12-13 |
1679945869 | Jocasta Castillo | Social Worker | Jewish Family Service of San Antonio, Tx, Inc., 12500 Nw Military Hwy Ste 250, San Antonio, TX 78231 | 2015-10-27 |
1710367297 | Amir Shahab Ashtiani | Dentist | 938 Wurzbach Pkwy Ste 107, San Antonio, TX 78231 | 2015-06-01 |
1386044303 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 919 Wurzbach Parkway, San Antonio, TX 78231 | 2014-08-27 |
1326452160 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12639 Blanco Rd, San Antonio, TX 78231 | 2014-06-19 |
1306165378 | Rex Elwyn Wildey | Dentist | 10003 Nw Military Hwy, Suite 3201, San Antonio, TX 78231 | 2010-05-28 |
1003065095 | Gomes Dental, PC | Dentist | 4115 Pond Hill Rd, Suite 102, Shavano Park, TX 78231 | 2008-09-15 |
1801966320 | William Michael Copeland | Dentist | 2397 C Nw Military Hwy, San Antonio, TX 78231 | 2006-11-09 |
1588766802 | Eugene G Krenzer Jr. | Counselor | 12500 North West Military Hwy #250, Jewish Family and Children's Services, San Antonio, TX 78231 | 2006-09-05 |
1760590442 | Arlene G. Dryer | Social Worker | Jfcs, 12500 N.w. Military Hwy., #250, San Antonio, TX 78231 | 2006-08-25 |
Find all providers in zip 78231 |
Taxonomy Code | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
1306953302 | Victor German | Pediatrics | 333 N Santa Rosa Ave Rm F2658, San Antonio, TX 78207-3108 | 2006-08-24 |
1215991641 | Daniel A Deane | Pediatrics | 339 Elizabeth Rd, San Antonio, TX 78209-5960 | 2006-04-13 |
1801187323 | Daniel A. Deane, Md, Pa | Pediatrics | 7922 Ewing Halsell Dr, Ste 260, San Antonio, TX 78229-3786 | 2011-05-02 |
1518294594 | Trang Nguyen Bui | Pediatrics | 903 W Martin St, San Antonio, TX 78207 | 2009-11-11 |
1568629327 | Lee Kirchner Md Pa | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2008-05-20 |
1689861007 | Filomena Hazel Rocha Villa | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-09-30 |
1780886457 | Kelly J Smith Md Pa | Pediatrics | 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849 | 2007-06-04 |
1952483166 | Amanda Mary Dove | Pediatrics | 5282 Medical Dr, Suite 540, San Antonio, TX 78229-6071 | 2006-10-19 |
1306953468 | Karen Hentschel-franks | Pediatrics | 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229-3901 | 2006-08-24 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78231 |
Please comment or provide details below to improve the information on DR. KELLY J SMITH.
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.