Infinit Men's Health Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

INFINIT MEN'S HEALTH CLINIC

Practice address

279 W Hidden Creek Pkwy Ste 1209
Burleson, TX 76028

Phone

(817) 339-6252

Fax

(817) 662-6255

NPI assigned

May 2, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane McKenzie Kelleher, PA-CNPI 1003273939

Title

Founder

Phone

(405) 550-4924

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Kelleher, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1003273939
  NPD (past) Authorized official
• Bobbie Jo Deweese, RN, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1962985903
  NPD
• Brittney London

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1841035938
  NPD

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1871158162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 HUNTERSVILLE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082062",
            "telephone_number": "405-550-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W HIDDEN CREEK PKWY STE 1209",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-339-6252",
            "fax_number": "817-662-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 W Hidden Creek Pkwy Ste 1209",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760286077",
            "country_code": "US",
            "telephone_number": "817-339-6252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFINIT MEN'S HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MCKENZIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "405-550-4924",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascal Nnamdi Ike, RPH
• Ikids Orthodontics Burleson PLLC
• Ikids Pediatric Dentistry Burleson, PLLC
• Kara Elizabeth Illingworth, MSN, APRN, FNP-C
• Imhealth, LLC (4HealthFMC)
• International Medical Management, LLC
• Ips Burleson
• J & J Home Health Agency (JPM Diversified Enterprises)
• J a Ford Assisting LLC
• Jack Jones Hearing Center, Inc. (AudioNova)

• Physician Assistant in Burleson, TX
• Providers in Burleson, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.