DR. THOMAS EDGAR KELLY JR.


Address: 7645 E Windrose Dr, Scottsdale, AZ 85260-4829
Phone: 4802310609

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
5777 E Mayo Blvd, Phoenix, AZ 850544502 4803421800

Other Providers THOMAS KELLY

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

Office Location

Street Address 7645 E WINDROSE DR
City SCOTTSDALE
State AZ
Zip Code 85260-4829

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SCOTTSDALE
Zip Code 85260

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Dataset Information

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.

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