KELLIE QUINN (NPI# 1639488786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639488786 |
| Entity Type | Individual |
| Full Name | KELLIE QUINN |
| Credential | DO |
| Practice Address |
1901 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2549354000 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Q8609 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 263989 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1901 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
| 1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
| 1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
| 1780232223 | Ahmed Gamal Aquino | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-08-28 |
| 1629620778 | Cristiane Rocha Krohn | Registered Nurse | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-07-09 |
| 1801356159 | Daniel Dvoskin | Student in an Organized Health Care Education/Training Program | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-22 |
| 1720546039 | Irma Valle | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-05 |
| 1316411200 | Jadon Kirven | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-01-14 |
| 1801371414 | Chad Krumpholz | Physician Assistant | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-28 |
| 1629550983 | Hailey Marek | Occupational Therapist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668149 | Pediatric Urgent Care Center of Fort Worth, P.a.. | Emergency Medicine | 3400 Texas Sage Trail, Suite 148, Fort Worth, TX 76177 | 2011-11-30 |
| 1093886400 | Bert Emil Johansson | Emergency Medicine | 4800 Alberta Dr, Dept Pediatrics; Texas Tech Health Sciences Ctr, El Paso, TX 79905 | 2006-11-10 |
| 1366535445 | Lisa J Herrin | Emergency Medicine | 712 Sw Wilshire Blvd, Burleson, TX 76028-5711 | 2006-10-02 |
| 1376587832 | Khoshnood Ahmad | Emergency Medicine | 11550 Legacy Drive, Suite # 420, Frisco, TX 75034 | 2006-06-15 |
| 1356313126 | Esteban R Lopez | Emergency Medicine | 520 Madison Oak, North Central Baptist Children's Emergency Department, San Antonio, TX 78258-3913 | 2006-02-06 |
| 1457321945 | Greater Houston Emergency Physicians Pllc | Emergency Medicine | 2500 Rice Blvd, Houston, TX 77005-3221 | 2006-01-25 |
| 1932188208 | Christian F Sanchez | Emergency Medicine | 9221 Lbj Fwy, Suite 208, Dallas, TX 75243-3455 | 2006-01-13 |
| 1073028338 | Nueces Physician Services, Pa | Emergency Medicine | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2017-12-08 |
| 1386099950 | Wellness Innovations Physician Partners | Emergency Medicine | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-05-02 |
| 1982065546 | Matthias Marvin Manuel | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-10 |
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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.