MICHAEL D KELLEY PA
NPI 1043284698
Physician Assistant, Surgical in Kettering,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 13, 2006

Contact Information

3535 Southern Blvd
Kettering,
Post Code: 45429
Phone: (937) 395-6665
Fax: (937) 395-6668

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Michael D Kelley Pa in Kettering - Physician Assistant, Surgical

Michael D Kelley Pa is a Physician Assistant, Surgical in Kettering, . Michael D Kelley Pa practices all healthcare services and medical treatments related to Physician Assistant, Surgical. The NPI Number for Michael D Kelley Pa is 1043284698. The last update date is 2021-01-20.

Michael D Kelley Pa's current location address is 3535 Southern Blvd, Kettering, . You can contact this provider via phone number (937) 395-6665 and fax number (937) 395-6668. The mailing address for Michael D Kelley Pa is 3535 Southern Blvd, Kettering, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1043284698
Provider Name
MICHAEL D KELLEY PA
Gender
Male
Entity Type
Individual
Location Address
3535 Southern Blvd, Kettering,
Location Phone
(937) 395-6665
Location Fax
(937) 395-6668
Mailing Address
3535 Southern Blvd, Kettering, Ohio(OH)
Mailing Phone
937-395-6665
Mailing Fax
937-395-6668
Enumeration Date
2006-02-13
Last Update Date
2021-01-20
Code Navigator

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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
50003217
License State
Ohio (OH)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 363AS0400X -

Physician Assistant, Surgical

50003217 (Ohio)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0085230 MEDICAID (05) Ohio (OH)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043284698
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083488618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2083488618
2 + 0 + 8 + 3 + 4 + 8 + 8 + 6 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8 8

The NPI number 1043284698 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043213077 KING'S MEDICAL IMAGING AT WATERMARK, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1003819202 JEFFREY M AYERS
Individual
Family Medicine 1153 E MAIN ST
LANCASTER, Ohio (OH)
740-687-8854
1013910298 JILL A SCHELLHASE
Individual
Family Medicine 11925 LITHOPOLIS RD NW
CANAL WINCHESTER, Ohio (OH)
614-837-6363
1023011160 SCOTT H ANDREW
Individual
Podiatrist 8041 HOSBROOK RD STE 107
CINCINNATI, Ohio (OH)
513-829-9333
1023011137 LORETTA A SETTONNI
Individual
Specialist 1805 27TH ST
PORTSMOUTH, Ohio (OH)
740-356-8117