Kelly J Smith MD PA

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

KELLY J SMITH MD PA

Practice address

5282 Medical Dr
Suite 120
San Antonio, TX 78229-4849

Phone

(210) 615-3700

Fax

(210) 615-3701

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Smith, MDNPI 1528198405

Title

Owner

Phone

(210) 615-3700

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly J Smith, MD

  • Pediatric Pulmonology Physician
  • San Antonio, TX
  • NPI 1528198405
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780886457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-615-3700",
            "fax_number": "210-615-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-615-3700",
            "fax_number": "210-615-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY J SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-615-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kellum, PA-C
• John Hansford Kellum, M.D.
• Dalisa Kelly Bacon
• Carol Ann Kelly Dilworth, L.B.S.W
• Kelly J Smith MD PA (Children's Asthma, Sleep & Pulmonary Institute)
• Sophronia Dee Kelly-Zion, LCSW
• Aldon Kelly Jr.
• Alicia Kelly, SLP
• Andrew Kelly, RBT
• Bart William Kelly, LPC

• Pediatric Pulmonology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Pulmonology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.