Kellum Physician Partners, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

J0844 Issued in TX

Legal business name

KELLUM PHYSICIAN PARTNERS, PA

Practice address

3903 Wiseman Blvd
Suite 215
San Antonio, TX 78251-4401

Phone

(210) 675-6724

Fax

(210) 675-1759

NPI assigned

Nov 18, 2011

Last updated

Apr 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Hansford Kellum Jr., M.D.NPI 1205820990

Title

President

Phone

(210) 945-2121

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel H Kellum Jr., MD

  • Family Medicine Physician
  • Schertz, TX
  • NPI 1205820990
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Lynn Akin, FNP-C

  • Family Nurse Practitioner
  • Boerne, TX
  • NPI 1841904273
  Medicare reassignment Care Compare group NPD
• Wade Carroll Becker, DO

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1184365009
  Medicare reassignment Care Compare group NPD
• Brandi Breuer, FNP-C

  • Nurse Practitioner
  • Schertz, TX
  • NPI 1548710858
  Medicare reassignment Care Compare group NPD
• Krista Celedon

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1558842948
  Medicare reassignment Care Compare group NPD
• Arthur Gonzales, MD

  • General Practice Physician
  • Schertz, TX
  • NPI 1265613483

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lisa Blumenthal Gurwitz, MD

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1306814942
  Medicare reassignment Care Compare group NPD
• Lauren Hatherall, DO

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1740867167
  Medicare reassignment Care Compare group NPD
• Steven P Kalter, M.D.

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1922032218
  Medicare reassignment Care Compare group NPD
• John Hansford Kellum, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1255326989
  Medicare reassignment Care Compare group NPD
• Mistie Kocurek, DNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1629520184
  Medicare reassignment Care Compare group NPD
• Megan Kristine McClure, DO

  • Family Medicine Physician
  • Schertz, TX
  • NPI 1326780875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1073880092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 US HIGHWAY 87 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632242",
            "telephone_number": "210-648-0152",
            "fax_number": "210-649-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514401",
            "telephone_number": "210-675-6724",
            "fax_number": "210-675-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLUM PHYSICIAN PARTNERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HANSFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-945-2121",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1533",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3009748-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Richard Kellogg, DDS
• Dean Kellogg, Jr, MD
• Karen Valentine Kellogg, DDS
• Nancy D. Kellogg, MD
• Kellum Medical Group, PA
• Kellum Physician Partners, PA
• Alexandra Cortez Kellum, DO
• Ashley Renee Kellum, RBT
• Daniel H Kellum Sr., DO
• Denise Kellum, PA-C

• Obstetrics & Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.