Sara E. Kelly, D.O.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

3961 Issued in OK

Practice address

224 Pecan Park Ave
Alexandria, LA 71303-3308

Phone

(318) 427-7900

Fax

(318) 427-7901

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayes County Hma, LLC

  • General Acute Care Hospital
  • Pryor, OK
  • NPI 1588686679
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296345600000",
    "number": "1891781233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-427-7900",
            "fax_number": "318-427-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-427-7900",
            "fax_number": "318-427-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SARA",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020210A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "DO.000133",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KC Thomas Psychiatry Services LLC
• Jordan Keller
• Lindsey H. Kelley, NP-C
• Scott R. Kelley, PHYSICAL THERAPIST
• Kelly Optometry, a Professional Corporation
• Tiffaney Kelly
• Susan Tracy Fryar Kelone, N.P.
• Kendalls Rehab Services of la
• Christina Danielle Kendrick
• Oileaner F. Kendricks

• Emergency Medical Services (Emergency Medicine) Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; 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.