KELLY J SMITH MD PA


Address: 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849
Phone: 2106153700

KELLY J SMITH MD PA (NPI# 1083829139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083829139
Entity Type Organization
Organization Name KELLY J SMITH MD PA
Other Organization Name CHILDREN'S ASTHMA, SLEEP & PULMONARY INSTITUTE
Practice Address 5282 Medical Dr
Suite 120
San Antonio
TX 78229-4849
Practice Telephone 2106153700
Practice Fax Number 2106153701
Mailing Telephone 2106153700
Mailing Fax Number 2106153701
Enumeration Date 2007-05-11
Last Update Date 2008-07-30
Authorized Official Name DR. KELLY J SMITH (OWNER/PHYSICIAN)
Authorized Official Telephone 2106153700
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
M3394 TX Allopathic & Osteopathic Physicians
N 2080S0012X Pediatrics
Specialization: Sleep Medicine
M3394 TX Allopathic & Osteopathic Physicians
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 191771801 05

Other Provider/Organization Names

Other Name Type Code
Children's Asthma, Sleep & Pulmonary Institute Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780886457 Kelly J Smith Md Pa Pediatrics 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849 2007-06-04

Office Location

Street Address 5282 MEDICAL DR
SUITE 120
City SAN ANTONIO
State TX
Zip Code 78229-4849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344014 Jean T Murphree Allergy & Immunology 5282 Medical Dr, Ste 500, San Antonio, TX 78229-6071 2005-05-24
1083248082 Kimberly Mcdow Nurse Practitioner 5282 Medical Dr, San Antonio, TX 78229-4849 2020-02-27
1548709074 Deborah Nobles Physician Assistant 5282 Medical Dr, Suite 110, San Antonio, TX 78229-4849 2017-02-16
1215473798 Robert G. Nobles IIi Md Pa Physician Assistant 5282 Medical Dr, Suite 110, San Antonio, TX 78229-4849 2017-01-09
1700253044 Leigh Van Osselaer Physician Assistant 5282 Medical Dr, Suite 250, San Antonio, TX 78229-4849 2015-08-21
1508259870 Sarah Eizabeth Burdick Nurse Practitioner 5282 Medical Dr, Suite 206, San Antonio, TX 78229-4849 2015-03-11
1548650658 Michelle Ann Anderson Community Health Worker 5282 Medical Dr, 140, San Antonio, TX 78229-4849 2015-01-27
1366849275 Hear Lab Inc. Audiologist 5282 Medical Dr, Ste: 150, San Antonio, TX 78229-4849 2014-11-21
1013352913 Jacob Erickson Pain Medicine 5282 Medical Dr, San Antonio, TX 78229-4849 2013-05-06
1477898088 M Kathleen Canty Clinical Nurse Specialist 5282 Medical Dr, Suite 206, San Antonio, TX 78229-4849 2012-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
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Taxonomy Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083721377 Lee Kirchner Pediatrics 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 2006-08-24
1306953302 Victor German Pediatrics 333 N Santa Rosa Ave Rm F2658, San Antonio, TX 78207-3108 2006-08-24
1215991641 Daniel A Deane Pediatrics 339 Elizabeth Rd, San Antonio, TX 78209-5960 2006-04-13
1801187323 Daniel A. Deane, Md, Pa Pediatrics 7922 Ewing Halsell Dr, Ste 260, San Antonio, TX 78229-3786 2011-05-02
1518294594 Trang Nguyen Bui Pediatrics 903 W Martin St, San Antonio, TX 78207 2009-11-11
1568629327 Lee Kirchner Md Pa Pediatrics 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 2008-05-20
1689861007 Filomena Hazel Rocha Villa Pediatrics 333 N Santa Rosa St, San Antonio, TX 78207-3108 2007-09-30
1780886457 Kelly J Smith Md Pa Pediatrics 5282 Medical Dr, Suite 120, San Antonio, TX 78229-4849 2007-06-04
1528198405 Kelly J Smith Pediatrics 4114 Pond Hill Road, Suite 101, San Antonio, TX 78231 2007-03-07
1952483166 Amanda Mary Dove Pediatrics 5282 Medical Dr, Suite 540, San Antonio, TX 78229-6071 2006-10-19
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Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

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.

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