DR. KELLY EILEEN CLEMENTS (NPI# 1578797650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578797650 |
Entity Type | Individual |
Full Name | DR. KELLY EILEEN CLEMENTS |
Other Name | DR. KELLY EILEEN GLOOR |
Credential | M.D. |
Practice Address |
1600 Wallace Blvd Nicu Amarillo TX 79106-1799 |
Practice Telephone | 8062126428 |
Mailing Telephone | 8062126428 |
Enumeration Date | 2009-05-05 |
Last Update Date | 2015-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Q3655 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ALBANY MEDICAL CENTER | 62835 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043639909 | Kelly Clements | Veterinarian | 860 E 131st Pl, Thornton, CO 80241-1130 | 2014-04-08 |
1770953457 | Kelly Clements | Speech-Language Pathologist | 982 Eastern Pkwy, Louisville, KY 40217-1566 | 2015-10-06 |
1770986069 | Kelly Clements | Psychologist | 675 W Washington Ave, Madison, WI 53703-2637 | 2014-10-01 |
1275786857 | Kelly Clements | Registered Nurse | 1 Washington Sq, New Britain, CT 06051-1848 | 2008-10-28 |
1366483646 | Kelly S. Clements | Otolaryngology | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2006-06-09 |
Street Address |
1600 WALLACE BLVD NICU |
City | AMARILLO |
State | TX |
Zip Code | 79106-1799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
1295392124 | Pranav Dilip Bhakta | Physician Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-05-27 |
1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720019359 | Evanthia Biskinis | Pediatrics | 1400 Coulter, Amarillo, TX 79106-1786 | 2006-07-05 |
1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
1447356803 | Olubukunola Adesanya | Pediatrics | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-09-15 |
1861423568 | Joyce Chuachingco | Pediatrics | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-05 |
1619979473 | Muhammad Subhani | Pediatrics | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699233510 | Allison Claire Arbilo | Pediatrics | 6431 Fannin St # 3.254, Houston, TX 77030-1501 | 2019-03-10 |
1619469343 | Deulofeut Physician Services Pllc | Pediatrics | 1924 Pine St Ste 401b, Abilene, TX 79601-2452 | 2018-05-30 |
1801303979 | Gulf Coast Neonatology, Pllc | Pediatrics | 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 | 2018-01-10 |
1023522331 | Richard Michael Rodriguez | Pediatrics | 2205 Concord Pl, Brownsville, TX 78520-3984 | 2017-11-22 |
1306266200 | Carlos A Laos, Md, Pa | Pediatrics | 25 Cochran Oaks Ln, Dallas, TX 75220-7811 | 2014-04-18 |
1225451032 | Sherlene Annette Dreyer | Pediatrics | 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 | 2014-01-29 |
1154752418 | Dolores Carruth | Pediatrics | 2510 Skyline Dr, Irving, TX 75038-5819 | 2013-12-11 |
1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
1780940940 | Harashada Luhar | Pediatrics | 4707 Circle Oak Cv, Austin, TX 78749-2302 | 2012-04-02 |
1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
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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.