Patrick M.Kelley, M.D., Plastic Surgery Center, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0032802 Issued in FL

Legal business name

PATRICK M.KELLEY, M.D., PLASTIC SURGERY CENTER, P.A.

Practice address

15 Doctors Dr
Panama City, FL 32405-4520

Phone

(850) 769-8991

Fax

(850) 769-3708

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Mark Kelley, M.D.

Title

President

Phone

(850) 769-8991

Specialties & licenses 1

Addresses

Other names 1

• Plastic Surgery Center, P.A. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Ann Hedstrom, M.D.

  • Neurological Surgery Physician
  • Panama City, FL
  • NPI 1114190469
  NPD

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1023327673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054520",
            "telephone_number": "850-769-8991",
            "fax_number": "850-769-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054520",
            "telephone_number": "850-769-8991",
            "fax_number": "850-769-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M.KELLEY, M.D., PLASTIC SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-769-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0032802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Center, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pathfinder Psychotherapy
• Pathfinders Psychology and Consulting, LLC
• Patricia Hornback DMD
• Patricia J Anderson MD LLC
• Patrick M. Tamim, M.D.
• Kendall E Patrick, MS CCC-SLP
• Eltanya A. Patterson, MD
• Hope Abigail Patterson
• Jared James Patterson, M.D.
• Julia Patterson, LMHC

• Medical Specialty Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.