Active NPI
Kalin Kelso MD PA
- Orthopaedic Surgery Physician
- Austin, TX
National Provider Identifier
1326218751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J4259
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.