DR. KELLEN TRAVIS JEX (NPI# 1952698532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952698532 |
| Entity Type | Individual |
| Full Name | DR. KELLEN TRAVIS JEX |
| Credential | M.D. |
| Practice Address |
107 Front St Ste 2126 Vidalia LA 71373 |
| Mailing Address |
107 Front St Ste 2126 Vidalia LA 71373-2835 |
| Practice Telephone | 3183362216 |
| Practice Fax Number | 3183366074 |
| Mailing Telephone | 3183362216 |
| Mailing Fax Number | 3183366074 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23270 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | T-2451 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
207975 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03506041 | 05 | |
| LA | 2390007 | 05 |
| Street Address |
107 FRONT ST STE 2126 |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1053309732 | Clifford Randolph Tillman | Internal Medicine | 107 Front St, Suite 2126, Vidalia, LA 71373-2836 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878506 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6550 Main St Ste 3500, Zachary, LA 70791-4092 | 2018-10-31 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1588077507 | Gi & Liver Consultants, L.L.C. | Internal Medicine | 614 Tchoupitoulas St, New Orleans, LA 70130-3212 | 2014-06-06 |
| 1437584885 | John William Hoppe Jr. | Internal Medicine | 533 High Lake Dr, Baton Rouge, LA 70810-4334 | 2013-09-04 |
| 1003251356 | Krunal Patel | Internal Medicine | 6550 Main St # 3500, Zachary, LA 70791-4092 | 2013-04-30 |
| 1437416617 | Jacob Lee Breaux | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503 | 2012-04-12 |
| 1477843761 | Julie C Guider | Internal Medicine | 2820 Napoleon Ave Ste 720, New Orleans, LA 70115-8291 | 2011-04-08 |
| 1750600748 | Elvin Hardy | Internal Medicine | 505 Seneca Trl, Shreveport, LA 71107-5424 | 2010-05-31 |
| 1083931646 | Eric Charles Fontenot | Internal Medicine | 555 Dr Michael Debakey Dr Ste 101, Lake Charles, LA 70601-5700 | 2010-04-22 |
| 1780818286 | Christie Bean Blanton | Internal Medicine | 1430 Tulane Ave # Sl-50, New Orleans, LA 70112-2632 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
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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.