Stephen P. Kelly, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E6451 Issued in TX

Legal business name

STEPHEN P. KELLY, M.D., P.A.

Practice address

100 S Park Dr
Brownwood, TX 76801-5918

Phone

(325) 643-3561

Fax

(325) 646-0670

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Diane Newton

Title

Medical Secretary

Phone

(325) 643-3561

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Stephen Powell Kelly, M.D.

  • Ophthalmology Physician
  • Brownwood, TX
  • NPI 1679572515
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1881921765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015918",
            "telephone_number": "325-643-3561",
            "fax_number": "325-646-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015918",
            "telephone_number": "325-643-3561",
            "fax_number": "325-646-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. KELLY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "325-643-3561"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E6451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089916302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "826183444",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Dawn Spears, FNP-C
• Samuel Blake St Ama
• Lori Dianne St.Ama, LPC
• Alicia Stacks, M.A., CCC/SLP
• Tanya R Stephanson, PH.D.
• Sara Louise Stephenson, PA-C
• Daena Castillo Stewardson, LPC
• Daniel Jason Stewart, M.D.
• Stieber Physical Therapy
• Stone City Radiology, PLLC

• Ophthalmology Physician in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.