JEANA KELLY (NPI# 1023040631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023040631 |
| Entity Type | Individual |
| Full Name | JEANA KELLY |
| Credential | P.A. |
| Practice Address |
6414 Fannin St Ste G150 Department of Orthopaedic Surgery Houston TX 77030-1514 |
| Mailing Address |
Po Box 201088 Houston TX 77216-1088 |
| Practice Telephone | 7134867500 |
| Mailing Telephone | 7135003500 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA02880 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8N8730 | 01 |
| Street Address |
6414 FANNIN ST STE G150 DEPARTMENT OF ORTHOPAEDIC SURGERY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066047 | Bryan Lennon Ruygrok | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2020-03-02 |
| 1427690791 | Maura K Leo | Nurse Practitioner | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2019-10-08 |
| 1700236841 | John Garlich | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2016-06-20 |
| 1841682390 | Christina Yazdani | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030 | 2015-02-20 |
| 1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
| 1396027306 | Audrey C Lively | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2011-09-15 |
| 1881859015 | Timothy Stuart Achor | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2008-07-28 |
| 1144488255 | John Wesley Munz | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2008-05-26 |
| 1750583910 | Mark L Prasarn | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2007-06-01 |
| 1629297973 | Denise H Hansen | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on JEANA KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.