DR. RANDALL KELLY (NPI# 1851374946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851374946 |
| Entity Type | Individual |
| Full Name | DR. RANDALL KELLY |
| Credential | M.D. |
| Practice Address |
701 W 5th St Odessa TX 79763-4206 |
| Practice Telephone | 4323355233 |
| Mailing Telephone | 4323355233 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
G2743 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376632430 | Randall Shawn Kelly | Dentist | 700 Sunrise Ave, Suite E, Roseville, CA 95661-4561 | 2006-10-12 |
| 1922393974 | Randall Douglas Kelly | Physician Assistant | 114 E 16th Ave, Eugene, OR 97401-4033 | 2011-06-16 |
| Street Address |
701 W 5TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845084 | Texas Tech University Health Sciences Center Odessa | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2005-10-17 |
| 1568075117 | Bibek Bakhati | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-08-24 |
| 1972112852 | Priya Darshini Velumani | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-28 |
| 1811505274 | Hina Tariq | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-21 |
| 1710595350 | Prince Richardson Lemuel Ernest | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-20 |
| 1952939951 | Goutami Mangu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-03-27 |
| 1790337483 | Mandeep Kaur Sidhu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-07-12 |
| 1174185292 | Andrey Mironenko | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-29 |
| 1043872120 | Govind Jha | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-28 |
| 1447811682 | Juan Guillermo Sierra David | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851367346 | Louis E Ridgway IIi | Obstetrics & Gynecology | 2817 Jbs Pkwy, Suite A-103, Odessa, TX 79762-8111 | 2006-02-24 |
| 1659376937 | Joseph P Bruner | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2005-06-14 |
| 1730519331 | West Texas Maternal Fetal Medicine Center, LLC | Obstetrics & Gynecology | 810 N Dixie Blvd, Suite 109, Odessa, TX 79761-2803 | 2013-11-18 |
| 1689608101 | Byron D. Elliott | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2006-07-10 |
| 1083656938 | Jorge D Blanco | Obstetrics & Gynecology | 420 E 6th St Ste 202, Odessa, TX 79761-4572 | 2006-06-12 |
| 1275572679 | Nancy L Eriksen | Obstetrics & Gynecology | 420 E 6th St, Suite 202, Odessa, TX 79761-4529 | 2006-06-04 |
| 1396717211 | James E Maher IIi | Obstetrics & Gynecology | 701 W 5th St, Suite 3212, Odessa, TX 79763-4206 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990261 | Melissa Ann Cassady | Obstetrics & Gynecology | 6500 N Mo Pac Expy Ste 1205, Austin, TX 78731-3282 | 2020-10-19 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1558875898 | Texas Perinatology | Obstetrics & Gynecology | 413 Jackson Hill St, Houston, TX 77007-7409 | 2017-11-23 |
| 1699227298 | Perinatology and Genetics Pllc | Obstetrics & Gynecology | 6701 Heritage Pkwy Ste 145, Rockwall, TX 75087-8724 | 2016-10-30 |
| 1437501988 | Nima Goharkhay, Pllc | Obstetrics & Gynecology | 1016 Point Isabel Ln, Friendswood, TX 77546-7896 | 2016-07-08 |
| 1578939435 | Magdalena Sanz Cortes | Obstetrics & Gynecology | 6651 Main St., Texas Childrens Hospital Pavillion for Women.mfm Divisi, Houston, TX 77030 | 2015-08-14 |
| 1417357211 | Robert Patterson | Obstetrics & Gynecology | 3205 Pickwick Ln, Rollingwood, TX 78746-5516 | 2014-08-28 |
| 1134548399 | Mary Micaela Rieger | Obstetrics & Gynecology | 1313 Red River St Ste A1, Austin, TX 78701-1907 | 2014-04-15 |
| 1922447648 | John Byrne | Obstetrics & Gynecology | 315 N San Saba Ste 930, San Antonio, TX 78207-3154 | 2013-06-15 |
| 1083969299 | Caroline Marrs | Obstetrics & Gynecology | 7777 Forest Ln Ste 565, Dallas, TX 75230 | 2012-07-13 |
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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.