JACQUELENE MITCHELL ADIELE, MD, PA (NPI# 1306106687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306106687 |
| Entity Type | Organization |
| Organization Name | JACQUELENE MITCHELL ADIELE, MD, PA |
| Practice Address |
3816 S Clear Creek Rd Suite A Killeen TX 76549-4400 |
| Mailing Address |
Po Box 938 Killeen TX 76540-0938 |
| Practice Telephone | 2542002748 |
| Practice Fax Number | 2542002757 |
| Mailing Telephone | 2546346999 |
| Mailing Fax Number | 2542004099 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | DR. JACQUELENE MITCHELL ADIELE (OWNER) |
| Authorized Official Telephone | 2543711172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | J2678 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID (GROUP) | 306297801 | 01 |
| NPI (GROUP) | 1306106687 | 01 | |
| TX | MEDICAID (INDIVIDUAL) | 034049902 | 01 |
| NPI (INDIVIDUAL) | 1609896497 | 01 | |
| TX | MEDICARE (GROUP) | TXB158052 | 01 |
| TX | MEDICARE (INDIVIDUAL) | TXB158053 | 01 |
| Street Address |
3816 S CLEAR CREEK RD SUITE A |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518941277 | Jeanice Amy Mitchell | Physical Therapist | 3816 S Clear Creek Rd, Suite B, Killeen, TX 76549-4400 | 2005-12-05 |
| 1932579455 | Alisa A Cross Md Pa | Psychiatry & Neurology | 3816 S Clear Creek Rd, Suite B, Killeen, TX 76549-4400 | 2015-09-26 |
| 1922431592 | Donnalee Anne Pollack | Nurse Practitioner | 3816 S Clear Creek Rd, Killeen, TX 76549-4400 | 2013-08-18 |
| 1023458775 | Loria Ann Lofton | Marriage & Family Therapist | 3816 S Clear Creek Rd, Bldg C, Ste. 301, Killeen, TX 76549-4400 | 2013-06-26 |
| 1104178037 | Brittney Ann Misercola | Nurse Practitioner | 3816 S Clear Creek Rd, Suite B, Killeen, TX 76549-4400 | 2012-10-02 |
| 1225392061 | Mitchell Home Visits Pllc | Emergency Medicine | 3816 S Clear Creek Rd, Killeen, TX 76549-4400 | 2012-06-26 |
| 1205108032 | Ctems Inc | Family Medicine | 3816 S Clear Creek Rd, Ste. E, Killeen, TX 76549-4400 | 2012-02-09 |
| 1649408246 | Central Texas Surgicare Pa | Surgery | 3816 S Clear Creek Rd, Ste B, Killeen, TX 76549-4400 | 2009-06-23 |
| 1124273719 | Donna C Worthy | Physical Therapist | 3816 S Clear Creek Rd, Ste B, Killeen, TX 76549-4400 | 2008-11-24 |
| 1477716843 | Leah Ellis | Physical Therapist | 3816 S Clear Creek Rd, Suite B, Killeen, TX 76549-4400 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063698967 | Karthikeyani Kathiresan | Internal Medicine | 2301 S Clear Creek Rd #106, Killeen, TX 76549-4110 | 2008-01-10 |
| 1134269657 | Precha Suvunrungsi | Internal Medicine | 2109 S Clear Creek Rd, Killeen, TX 76549-4110 | 2007-02-07 |
| 1225579956 | Pamela Roy-kondepati | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-03-14 |
| 1710333679 | Jessica Yvonne Marie Chambers | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549 | 2016-05-10 |
| 1013374800 | Arpana Jaiswal | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2016-01-25 |
| 1356737894 | Miranda Tracy | Internal Medicine | 5702 E Central Texas Expy, Killeen, TX 76543 | 2015-04-10 |
| 1538574264 | Scott Keeney | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2014-06-20 |
| 1740692904 | Neil Patel | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2014-05-22 |
| 1740615236 | Brent A Ancona | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2013-09-04 |
| 1376896860 | Carlito Gaviola Arenas | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2012-10-21 |
| Find all providers in KILLEEN | ||||
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| 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.