Organization Active NPI

Patrick F Kelly DO

  • Specialist
  • North Richland Hills, TX
National Provider Identifier
1396703849
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K5127 Issued in TX
Legal business name
PATRICK F KELLY DO
Doing business as
NORTH HILLS ORTHOPEDIC SPECIALISTS
Practice address
4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359
Phone
(817) 595-5890
Fax
(817) 595-7642
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Patrick F Kelly, D.O.
Title
Owner
Phone
(817) 595-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K5127 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359

Mailing address

4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359
Phone (817) 595-5890

Other identifiers 1

IdentifierTypeStateIssuer
171975901MedicaidTX

Other names 1

  • NORTH HILLS ORTHOPEDIC SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1396703849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 410",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-595-5890",
            "fax_number": "817-595-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 410",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-595-5890",
            "fax_number": "817-595-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK F KELLY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-595-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K5127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171975901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH HILLS ORTHOPEDIC SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.