KELLIWOOD FAMILY PRACTICE
NPI 1487782983
Specialist in Katy, TX
- Organization
- Specialist
- CLIA Number: 45D1038057
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-21-2027
About KELLIWOOD FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Kelliwood Family Practice, a provider established in Katy, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1487782983 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Kelliwood Family Practice. The authorized official of this NPI record is Steven C Spencer Md (President)
- NPI
- 1487782983 Verify this NPI
- Provider Legal Name
- STEVEN C. SPENCER, MD, PA
- Other Organization Name
- KELLIWOOD FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 701 S FRY RD SUITE 103 KATY, TX 77450
- Location Phone
- (281) 398-4222
- Location Fax
- (281) 398-4001
- Mailing Address
- 701 S FRY RD STE 103 KATY, TX 77450
- Mailing Phone
- (281) 398-4222
- Mailing Fax
- (281) 398-4001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2007
- Last Update Date
- 01-19-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00647X | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | GROUP NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1038057
- Facility Type
- Physician Office
- Certificate Effective Date
- August 22, 2025
- Certificate Expiration Date
- August 21, 2027
- Laboratory Director
- STEVEN C. SPENCER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kelliwood Family Practice in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for KELLIWOOD FAMILY PRACTICE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KATY, TX 77450
KATY, TX 77450
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487782983, enumerated as an "organization" on February 28, 2007.
The provider is located at 701 S FRY RD SUITE 103 KATY, TX 77450 and the phone number is (281) 398-4222.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
