Tjelmeland Plastic Surgery, P. a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

J7860 Issued in TX

Legal business name

TJELMELAND PLASTIC SURGERY, P. A.

Doing business as

Kelly E. Tjelmeland M. D.

Practice address

4220 Bull Creek Rd
Austin, TX 78731-6026

Phone

(512) 617-7500

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Kelly E Tjelmeland, M. D.NPI 1003900119

Title

Owner

Phone

(512) 617-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kelly E. Tjelmeland M. D. Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Kelly Eugene Tjelmeland, M D

  • Plastic Surgery Physician
  • Austin, TX
  • NPI 1003900119
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1710071832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026",
            "telephone_number": "512-617-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJELMELAND PLASTIC SURGERY, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "TJELMELAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-617-7500",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "J7860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169603101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "8AQ830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly E. Tjelmeland M. D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney J. Titus
• Kara Titus, PA-C
• Shawnee Dean Titus
• Trenton Daniel Titus, DPT
• Julius Walter Tiu-Lim, O.D.
• Kelly Eugene Tjelmeland, M D
• TJF Optometric Holdings P.L.L.C
• Vincent M. Tjia, MD
• TK Clinic LLC
• TMC Provider Group PLLC

• Plastic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.