Kelly Smith Doggett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J5984 Issued in TX

Practice address

2216 W Washington St
Stephenville, TX 76401-3838

Phone

(254) 965-5888

NPI assigned

Apr 20, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KTD PLLCGroup PAC ID 9739440983, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• KTD, PLLC

  dba Convenient Care Clinic

  • Primary Care Clinic/Center
  • Stephenville, TX
  • NPI 1841705100
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Harris Methodist Hospital Stephenville

  • General Acute Care Hospital
  • Stephenville, TX
  • NPI 1922031541
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1417913344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013838",
            "telephone_number": "254-965-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013838",
            "telephone_number": "254-965-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGGETT",
        "first_name": "KELLY",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Diaz, PT
• Sue Dickerson, SLP
• Alliyah Dillard
• Paul Dillard
• Tina Dipprey, SLP
• Angela Sue Donley, CNP
• Fiona Leigh Dowling
• DPT Physical Therapy & Performance
• Stephanie Renee Drake, M.S., CCC-SLP
• Lindsey Duncan, SLP

• Family Medicine Physician in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.