DR. SCOTT DOUGLAS KELLY (NPI# 1811126105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811126105 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DOUGLAS KELLY |
| Credential | M.D. |
| Practice Address |
2610 S Ih 35 Austin TX 78704-5703 |
| Practice Telephone | 7137911414 |
| Mailing Telephone | 7137911414 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | P2276 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 532715 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 321067601 | 05 | |
| TX | DEA | FK3465639 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1356882625 | Scott Kelly | Specialist/Technologist | 21840 Nw 218th Ter, High Springs, FL 32643-9081 | 2017-03-20 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1467434357 | Scott Patrick Kelly | Emergency Medicine | Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | 2005-11-16 |
| 1295211001 | Scott Edward Kelly | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-07-15 |
| 1184892051 | Scott A Kelly | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-13 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| 1962508093 | Scott Munro Kelly | Urology | 1004 1st St N, Suite 320, Alabaster, AL 35007-8766 | 2006-09-16 |
| Street Address |
2610 S IH 35 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023058617 | Nadja Ivette Torres | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2006-06-08 |
| 1134573363 | Bhumi Desai | Optometrist | 2610 S Ih 35, Austin, TX 78704-5703 | 2016-04-13 |
| 1750700118 | Fredrickson Anesthesia Staffing Inc. | Nurse Anesthetist, Certified Registered | 2610 S Ih 35, Austin, TX 78704-5703 | 2014-04-15 |
| 1811133507 | Howerton Eye Clinic, Pllc | Optometrist | 2610 S Ih 35, Austin, TX 78704-5703 | 2008-12-30 |
| 1003019092 | Kristen Michelle Hawthorne | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2007-06-07 |
| 1225068802 | Jennifer E Fredrickson | Nurse Anesthetist, Certified Registered | 2610 S Ih 35, Austin, TX 78704-5703 | 2006-07-03 |
| 1093743056 | Richard A. Berkowitz | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2006-06-29 |
| 1508808650 | David Belt | Nurse Anesthetist, Certified Registered | 2610 S Ih 35, Austin, TX 78704-5703 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| 1205221652 | Aliza Epstein | Ophthalmology | 3705 Medical Pkwy Ste 120, Austin, TX 78705-1022 | 2015-04-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| 1831444934 | Lake Austin Eye Pllc | Ophthalmology | 11614 Bee Caves Rd Ste 110, Austin, TX 78738-5551 | 2012-07-16 |
| 1184982977 | Peter Alan Ryg | Ophthalmology | 5011 Burnet Rd Fl 2, Austin, TX 78756-2653 | 2012-04-30 |
| 1902126105 | Megan Mcree Geloneck | Ophthalmology | 11111 Research Blvd Ste 240, Austin, TX 78759-5264 | 2010-06-10 |
| 1831414333 | Sonja Dieterichs | Ophthalmology | 1102 Carlotta Ln, Austin, TX 78733-1527 | 2010-03-29 |
| 1639311194 | Divya M. Varu | Ophthalmology | 901 Mopac Expy S, Barton Oaks Plaza Iv, Suite 350, Austin, TX 78746 | 2009-03-30 |
| 1669612891 | Craig Charles Kuglen Sr. | Ophthalmology | 1310 Rockcliff Rd, Austin, TX 78746-1205 | 2009-02-27 |
| Find all providers in AUSTIN | ||||
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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.