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SHANE KELLEHER PA-C
NPI 1003273939
Physician Assistant in Fort Worth, TX

Active since January 22, 2016
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7840(682) 885-7856 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Kelleher Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE KELLEHER PA-C (NPI 1003273939) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA105592) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1003273939
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE KELLEHERCredential: PA-C
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Phone(682) 885-7840
Fax(682) 885-7856
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
Last NPPES UpdateAugust 2, 2016
✔ NPI 1003273939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in TX · PA105592✔ Licensed in OK · 2628
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 COOPER ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
DOUGLAS GLENN COGDILL MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (817) 347-9601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Kelleher's NPI number?

The NPI number for Shane Kelleher is 1003273939. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Shane Kelleher located?

Shane Kelleher practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-7840.

What is Shane Kelleher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Shane Kelleher accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Shane Kelleher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Kelleher was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.