DR. TIMOTHY JOHN KELLY (NPI# 1558780064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558780064 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN KELLY |
| Credential | M.D. |
| Practice Address |
2460 N Ih 35 E Ste 215 Waxahachie TX 75165-5271 |
| Practice Telephone | 4698009830 |
| Mailing Telephone | 4698009830 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | S7696 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720561608 | Timothy Kelly | Social Worker | 25a Vreeland Rd, Florham Park, NJ 07932-1910 | 2018-09-07 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1003026261 | Timothy Richard Kelly | Psychiatry & Neurology | 510 Azalea Dr Ste 200, Oxford, MS 38655-6903 | 2007-05-23 |
| 1700953163 | Timothy James Kelly | Chiropractor | 1038 Washington Street, Fairfield, CA 94533-5545 | 2006-11-29 |
| 1063592558 | Timothy P Kelly | Chiropractor | 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600 | 2006-10-17 |
| 1588653281 | Timothy Lynn Kelly | Dentist | 1600 Mountain View Rd, Suite 104, Rapid City, SD 57702-4381 | 2005-10-17 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1497758825 | Timothy G Kelly | Ophthalmology | 1915 Tradd Ct, Wilmington, NC 28401-6638 | 2005-05-31 |
| 1073140497 | Timothy Stephen Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1149, New York, NY 10029-6504 | 2020-03-25 |
| 1649805888 | Timothy Dwyer Kelly | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-03-09 |
| Street Address |
2460 N IH 35 E STE 215 |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700175247 | Natalie Ann Calcatera | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2011-04-05 |
| 1770825440 | Nathan Andrew Ludwig | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2013-03-20 |
| 1295098168 | Sean Daniel Arredondo | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2012-06-16 |
| 1326304908 | Maya Irene Srimushnam | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2012-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962779231 | North Texas Wound Care | Surgery | 926 Creekview Dr, Waxahachie, TX 75165-6159 | 2011-11-30 |
| 1861783938 | Mazen Iskandar | Surgery | 2460 N I 35 Ste 215, Waxahachie, TX 75165-5271 | 2011-04-25 |
| 1700175247 | Natalie Ann Calcatera | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2011-04-05 |
| 1124040266 | Mark D Skyiepal | Surgery | 791 N Highway 77, Ste 501-c #239, Waxahachie, TX 75165-1977 | 2006-07-25 |
| 1356394118 | William Charles Major | Surgery | 1626 W Hwy 287 Business, Suite 101, Waxahachie, TX 75165-4712 | 2006-05-19 |
| 1376525253 | Andre Dean Graham | Surgery | 1305 W Jefferson St Ste 120, Waxahachie, TX 75165-2251 | 2005-11-16 |
| 1871598458 | Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP | Surgery | 1505 W Jefferson St, Ste 165, Waxahachie, TX 75165-2200 | 2005-06-20 |
| 1770825440 | Nathan Andrew Ludwig | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2013-03-20 |
| 1295098168 | Sean Daniel Arredondo | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2012-06-16 |
| 1326304908 | Maya Irene Srimushnam | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2012-04-08 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
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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.