Kelly Maedo (NPI# 1104838887, PAC ID# 8628032554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104838887 |
| PAC ID by PECOS | 8628032554 |
| Professional Enrollment ID | I20080225000655 |
| Full Name | Kelly Maedo |
| Organization Legal Name | CENTRAL TEXAS OSTEOPATHIC MEDICAL ASSOCIATES PA |
| Address |
2911 Texas Ave S Suite 103 College Station TX 77845-5388 |
| Phone Number | 9797642882 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395773105 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2911 Texas Ave S, Suite 103, College Station, TX 77845-5388 | 9797642882 | CENTRAL TEXAS OSTEOPATHIC MEDICAL ASSOCIATES PA |
| Organization Legal Name | CENTRAL TEXAS OSTEOPATHIC MEDICAL ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Statler | Family Medicine | Central Texas Osteopathic Medical Associates Pa | 2911 Texas Ave S, Suite 103, College Station, TX 77845-5388 |
| Erin Michelle Topf | Physician Assistant | Central Texas Osteopathic Medical Associates Pa | 2911 Texas Ave S, Suite 103, College Station, TX 77845-5388 |
| Street Address |
2911 TEXAS AVE S SUITE 103 |
| City | COLLEGE STATION |
| State | TX |
| Zip | 77845-5388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell B Bacak | Family Medicine | Bcs Abundant Life Family Practice | 2911 Texas Ave S, Suite 202, College Station, TX 77845-5388 |
| Hope Elizabeth Odom | Nurse Practitioner | Bcs Abundant Life Family Practice | 2911 Texas Ave S, Suite 202, College Station, TX 77845-5388 |
| Christine G Pinones | Nurse Practitioner | Bcs Abundant Life Family Practice | 2911 Texas Ave S, Suite 202, College Station, TX 77845-5388 |
| Robert D Statler | Family Medicine | Central Texas Osteopathic Medical Associates Pa | 2911 Texas Ave S, Suite 103, College Station, TX 77845-5388 |
| Erin Michelle Topf | Physician Assistant | Central Texas Osteopathic Medical Associates Pa | 2911 Texas Ave S, Suite 103, College Station, TX 77845-5388 |
| Sarah Atchley | Physician Assistant | Bcs Abundant Life Family Practice | 2911 Texas Ave S, Suite 202, College Station, TX 77845-5388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Williams | General Surgery | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001 |
| Joseph J Roman | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Conde N Anderson | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sidney C. Ontai | General Practice | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Arun K Jain | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jill Linsey Holcomb | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sandra Md Nweke | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Catherine Manga | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jasvinder S Sidhu | Cardiovascular Disease (cardiology) | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Aderemi Jaiyeola | Gastroenterology | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Find all physicians in zip 77845 | |||
| City | COLLEGE STATION |
| Zip Code | 77845 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLLEGE STATION + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly Maedo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.