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DOUGLAS WAYNE KELLY M.D.
NPI 1104924158
Orthopaedic Surgery - Sports Medicine in Phoenix, AZ

Active since September 20, 2006
5501 N 19TH AVE, 432, PHOENIX, AZ 85015(602) 242-7691(602) 242-7265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Wayne Kelly M.d. NPPES

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

DOUGLAS WAYNE KELLY M.D. (NPI 1104924158) is an individual sports medicine provider in Phoenix, Arizona, licensed in Arizona (12896) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104924158
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDOUGLAS WAYNE KELLYCredential: M.D.
Location Address5501 N 19TH AVE, 432Phoenix, AZ 85015-2450
Mailing Address5501 N 19th Ave, 432Phoenix, AZ 85015-2450 · (602) 242-7691 · Fax (602) 242-7265
Phone(602) 242-7691
Fax(602) 242-7265
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104924158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in AZ · 12896
Definition
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.
5501 N 19TH AVE, Phoenix, AZ 85015
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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.

CARE GIVERS OF ARIZONA, INC.
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 277-4142
SALUBRIOUS HEALTH CARE PC
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Maricopa County (602) 242-1221
LORENZO SUMMERS II
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (480) 219-5769
DOUGLAS W KELLY MD PC
Orthopaedic Surgery
5501 N 19TH AVE, SUITE 432
PHOENIX, AZ 85015
Maricopa County (602) 242-7691
APEX INTEGRATED CARE PLLC
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Maricopa County (602) 589-0500
VICTOR TSENG, MD, PC
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796
DESERT ORTHOPAEDICS & REHABILITATION, PC
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796
KINGSLEY EBORU
Nurse Practitioner (Psychiatric/Mental Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 755-8343

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 Douglas Kelly's NPI number?

The NPI number for Douglas Kelly is 1104924158. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Douglas Kelly located?

Douglas Kelly practices at 5501 N 19th Ave 432, Phoenix, AZ 85015. The listed phone number is (602) 242-7691.

What is Douglas Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Douglas Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.