Douglas M Kelley, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J6520 Issued in TX

Practice address

3508 22ND PL
Lubbock, TX 79410-1316

Phone

(806) 799-1485

Fax

(806) 799-8132

NPI assigned

Jul 20, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BG Anesthesia, P.a.

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1316097975
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1285654509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650252",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650252",
            "telephone_number": "806-799-1485",
            "fax_number": "806-799-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101316",
            "telephone_number": "806-799-1485",
            "fax_number": "806-799-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff G. Keeling, DDD,MS,PA
• Gabrielle Knorr Keenum, M.A., LPC, NCC
• Christa Keesee, M. S., CCC-SLP
• Dana Keirn
• Audriana Laquinta Keller, LCDC-I
• Sadee Kello, PT
• Kelly J Frasier M.D., P.a.
• Erica Marie Kelly, ATC
• Matthew Brandon Kelly, MD
• Stacey Rachelle Kelly, FNP

• Anesthesiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.