Stephen J Kelly MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD.28419 Issued in AL

Legal business name

STEPHEN J KELLY MD PC

Practice address

1830 14TH Ave S
Birmingham, AL 35205-4969

Phone

(205) 933-2250

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Kelly, MDNPI 1205059169

Title

President

Phone

(205) 933-2250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Kelly, MD

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1205059169
  Medicare reassignment Care Compare group NPD Authorized official
• Sara M. Mullins, M.D.

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1609002237
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1477899672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J KELLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-933-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.28419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Stellburg, OTR/L
• Zachary David Stello, MD
• Michelle Elizabeth Steneck Merineau
• Tierra Stepanoff
• Stephanie Grenert Consulting, LLC
• Stephen Joseph Kelly, MD
• Stephen R Steinmetz PC
• Kerri Stephen, CRNP
• Paul Sidney Stephen, M.D.
• Stephens Pharmacy Inc

• Ophthalmology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.