KELLY R. WILL, M.D., P.A. (NPI# 1326432295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326432295 |
| Entity Type | Organization |
| Organization Name | KELLY R. WILL, M.D., P.A. |
| Practice Address |
11970 N Central Expy Ste 510 Dallas TX 75243-3768 |
| Practice Telephone | 9727072800 |
| Practice Fax Number | 9727072801 |
| Mailing Telephone | 9727072800 |
| Mailing Fax Number | 9727072801 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. KELLY R WILL (OWNER) |
| Authorized Official Telephone | 9727072800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
TX | Allopathic & Osteopathic Physicians | |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
TX | Allopathic & Osteopathic Physicians | |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
11970 N CENTRAL EXPY STE 510 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104355205 | Prestige Pain Partners Pllc | Anesthesiology | 11970 N Central Expy Ste 510, Dallas, TX 75243-3768 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825110 | Alleviate Pain Center, LLC | Anesthesiology | 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 | 2019-05-08 |
| 1366937013 | Ld Anesthesia Consultants, Pllc | Anesthesiology | 5902 Goliad Ave, Dallas, TX 75206-6820 | 2018-06-26 |
| 1245723428 | Ld Wellness Pllc | Anesthesiology | 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131 | 2018-06-12 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1750884847 | Midtex Medical Group Pllc- Dallas Series | Anesthesiology | 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 | 2018-03-14 |
| 1427571355 | Interventional Spine & Pain, LLP | Anesthesiology | 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 | 2017-07-23 |
| 1629506357 | Vanguard Pain Management, Pllc | Anesthesiology | 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 | 2017-05-25 |
| 1215354972 | Ispine Sports Medicine and Pain Management, Pa | Anesthesiology | 2220 Canton St, Suite 211, Dallas, TX 75201-5923 | 2014-03-19 |
| 1770842338 | Hercules Pain Management LLC | Anesthesiology | 7988 W. Virginia, Suite 100, Dallas, TX 75237 | 2012-05-16 |
| 1336374727 | Tian Zhao | Anesthesiology | 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 | 2009-05-28 |
| Find all providers in DALLAS | ||||
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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.