DOUGLAS WAYNE KELLY M.D.
NPI 1104924158
Orthopaedic Surgery - Sports Medicine in Phoenix, AZ
NPI Status: Active since September 20, 2006
Contact Information
5501 N 19TH AVE
432
PHOENIX, AZ
ZIP 85015
Phone: (602) 242-7691
Fax: (602) 242-7265
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About DOUGLAS KELLY
This page provides the complete NPI Profile along with additional information for Douglas Kelly, a provider established in Phoenix, Arizona with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104924158 assigned on September 2006. The practitioner's primary taxonomy code is 207XX0005X with license number 12896 (AZ). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1104924158
- Provider Name
- DOUGLAS WAYNE KELLY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5501 N 19TH AVE 432 PHOENIX, AZ 85015
- Location Phone
- (602) 242-7691
- Location Fax
- (602) 242-7265
- Mailing Address
- 5501 N 19TH AVE 432 PHOENIX, AZ 85015
- Mailing Phone
- (602) 242-7691
- Mailing Fax
- (602) 242-7265
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2006
- Last Update Date
- 07-08-2007
- 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
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12896
- License State
- AZ
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104924158, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104924158, enumerated as an "individual" on September 20, 2006.
The provider is located at 5501 N 19TH AVE 432 PHOENIX, AZ 85015 and the phone number is (602) 242-7691.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
