DOUGLAS W KELLY MD PC
NPI 1205171402
Orthopaedic Surgery in Phoenix, AZ

Active since November 29, 2012
5501 N 19TH AVE, SUITE 432, PHOENIX, AZ 85015(602) 242-7691(602) 242-7265 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas W Kelly Md Pc NPPES

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

DOUGLAS W KELLY MD PC (NPI 1205171402) is a healthcare organization registered as an orthopaedic surgery in Phoenix, Arizona and active in the NPI registry since November 2012. The organization lists Douglas W Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1205171402
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDOUGLAS W KELLY MD PC
Location Address5501 N 19TH AVE, SUITE 432Phoenix, AZ 85015-2450
Mailing Address5501 N 19th Ave, Suite 432Phoenix, AZ 85015-2450 · (602) 242-7691 · Fax (602) 242-7265
Fax(602) 242-7265
Organization SubpartNo
Authorized OfficialDouglas W KellyPresident · (602) 242-7691
Enumeration DateNovember 29, 2012
NPI 1205171402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AZ · 12896
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5501 N 19TH AVE, Phoenix, AZ 85015

Other Identifiers 1

Medicare PINZ0000BGLGFAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Orthopaedic Surgery (Sports Medicine)
5501 N 19TH AVE, 432
PHOENIX, AZ 85015
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Nurse Practitioner (Psychiatric/Mental Health)
5501 N 19TH AVE
PHOENIX, AZ 85015

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 W Kelly MD PC's NPI number?

The NPI number for Douglas W Kelly MD PC is 1205171402. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Douglas W Kelly MD PC located?

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

What is Douglas W Kelly MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Douglas W Kelly MD PC was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.