Organization Active NPI

Kalin Kelso MD PA

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1326218751
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J4259 Issued in TX
Legal business name
KALIN KELSO MD PA
Practice address
2200 Park Bend Dr
Ste 301
Austin, TX 78758-5387
Phone
(512) 339-0440
Fax
(512) 339-0454
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Kalin Kelso, MD
Title
President
Phone
(512) 339-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X J4259 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr
Ste 301
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr
BLDG 1 Ste 301
Austin, TX 78758-5387
Phone (512) 339-0440

Other names 1

  • Austin Orthopedics and Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Park Bend Dr
Ste 301
Austin, TX 78758
Phone (512) 339-0440

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1326218751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 1 STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-0440",
            "fax_number": "512-339-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-339-0440",
            "fax_number": "512-339-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIN KELSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "KALIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-339-0440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.