DR. THOMAS EDGAR KELLY JR. (NPI# 1902888985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902888985 |
Entity Type | Individual |
Full Name | DR. THOMAS EDGAR KELLY JR. |
Credential | M.D. |
Practice Address |
7645 E Windrose Dr Scottsdale AZ 85260-4829 |
Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
Practice Telephone | 4802310609 |
Mailing Telephone | 4803018000 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 43448 | AZ | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 2169 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | HEALTHNET GRP NBR | AW1436 | 01 |
AZ | 447814 | 05 | |
AZ | GROUP HEALTH GRP NBR | 453051001 | 01 |
EVERCARE GRP NBR | 3981220 | 01 | |
AZ | HUMANA | 860373636 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5777 E Mayo Blvd, Phoenix, AZ 850544502 | 4803421800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
Street Address |
7645 E WINDROSE DR |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85260-4829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
Find all providers in zip 85260 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457719569 | Private Client Physician Services, LLC | Emergency Medicine | 5851 E Blue Sky Dr, Scottsdale, AZ 85266-6712 | 2016-02-03 |
1154748283 | Babette Witkind Koenig | Emergency Medicine | Empower Emergency Physicians, 7332 East Butherus Drive, Scottsdale, AZ 85260 | 2014-03-26 |
1710250030 | Kevin M Mckeown | Emergency Medicine | 8265 E Del Cadena Dr, Scottsdale, AZ 85258-2326 | 2012-02-16 |
1063669158 | Joshua Lewis | Emergency Medicine | 8818 E Dahlia Dr, Scottsdale, AZ 85260-8439 | 2008-08-20 |
1275713703 | Chad Seymour Lewis | Emergency Medicine | 18524 N 94th St, Scottsdale, AZ 85255-2493 | 2007-11-13 |
1710170246 | Anne Kay Chung | Emergency Medicine | 7332 E Butherus Dr Ste 104, Scottsdale, AZ 85260-2426 | 2007-08-17 |
1275757841 | Amy Ramesh Patel | Emergency Medicine | 8997 E Desert Cove Ave Fl 1, Scottsdale, AZ 85260-6742 | 2007-04-12 |
1407890601 | Kevin W. Hubbard | Emergency Medicine | 11434 E Mission Ln, Scottsdale, AZ 85259-5821 | 2006-06-16 |
1659338887 | Jack Anderson | Emergency Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2006-05-01 |
1235111600 | Kenneth Barry Fleisch | Emergency Medicine | 5635 N Scottsdale Rd Ste 170, Scottsdale, AZ 85250-5945 | 2005-11-18 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85260 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.