Phillip W. Kelly, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHILLIP W. KELLY, MD, PA

Doing business as

North Texas Ophthalmology Associates

Practice address

1704 11TH St
Wichita Falls, TX 76301-5020

Phone

(940) 723-1274

Fax

(940) 723-1525

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip W. Kelly, MD

Title

President

Phone

(940) 723-1274

Specialties & licenses 1

Addresses

Other names 1

• North Texas Ophthalmology Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1003909532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8169",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763078169",
            "telephone_number": "940-723-1274",
            "fax_number": "940-723-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015020",
            "telephone_number": "940-723-1274",
            "fax_number": "940-723-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP W. KELLY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-723-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Ophthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salman Pervaiz
• Peter M Harvey
• Brook Peters, PT
• Daunne Peters, M.D.
• Franklen Phares Jr.
• Scott Brian Phillips, M.D.
• George Kennie Phillis, MPAS PAC
• Traci Christine Phipps, MA, LPC
• Catherine Pierpont, LCSW
• Pinnacle Integrative Orthopedics and Sports Medicine

• Specialist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.