MR. KELLY JOE THOMAS BS MT(ASCP) CLS(NCA)
NPI 1255663670
Specialist/Technologist, Pathology - Medical Technologist in Rapid City, SD

NPI Status: Active since February 10, 2010

Contact Information

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (605) 355-2229
Fax: (305) 355-2514

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  • Individual
  • Male
  • Specialist/Technologist, Pathology
  • Medical Technologist

About KELLY THOMAS

This page provides the complete NPI Profile along with additional information for Kelly Thomas, a provider established in Rapid City, South Dakota with a medical specialization in Specialist/technologist, Pathology, focusing in medical technologist . The healthcare provider is registered in the NPI registry with number 1255663670 assigned on February 2010. The practitioner's primary taxonomy code is 246QM0706X with license number 204742 (). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1255663670
Provider Name
MR. KELLY JOE THOMAS BS MT(ASCP) CLS(NCA)
Gender
Male
Entity Type
Individual
Location Address
3200 CANYON LAKE DR RAPID CITY, SD 57702
Location Phone
(605) 355-2229
Location Fax
(305) 355-2514
Mailing Address
3200 CANYON LAKE DR RAPID CITY, SD 57702
Mailing Phone
(605) 355-2229
Mailing Fax
(305) 355-2514
Is Sole Proprietor?
No
Enumeration Date
02-10-2010
Last Update Date
02-10-2010
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Location Map

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

Specialist/Technologist, Pathology Medical Technologist

Taxonomy Code
246QM0706X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
204742

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)
1246QM0706XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Pathology
Medical Technologist

206256 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
0140070MEDICAID (05)SD 
5549050OTHER (01)SDMEDICAID
PHS000MEDICARE UPIN (02)SD 
430082MEDICARE OSCAR/CERTIFICATION (06)SD 
HSZ050MEDICARE PIN (08)SD 

Reviews for MR. KELLY JOE THOMAS BS MT(ASCP) CLS(NCA)

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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.
1255663670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051266614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 6 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255663670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

LINNEA ANN PUTNAM PHARM.D.,MBA

Pharmacist

(Pharmacotherapy)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2392

RAPID CITY INDIAN HEALTH SERVICE HOSPITAL

General Acute Care Hospital

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2500

MRS. GENIE MARIE ELLIS FNP

Nurse Practitioner

(Family)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2443

MS. KIBBE M CONTI RD

Dietitian, Registered

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(655) 355-2378

DR. PATRICK BRITTON O.D

Optometrist

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2390

MS. PAULETTE E CUNY MSW LCSW

Social Worker

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2216

DR. BRENDA L FARRIS M.D.

Internal Medicine

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2234

MRS. VIRGINIA LYNN FREI M.D.

Family Medicine

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2223

DR. MANUEL C GUZMAN M.D.

Family Medicine

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2443

MRS. MARY C EWING FNP

Nurse Practitioner

(Family)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2443

MS. MARY SIBERT FOX M.D.

Pediatrics

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2423

MS. MARY R. INGRAM FNP

Nurse Practitioner

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2443

DR. TED BROCKETT MD

Emergency Medicine

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2500

ANDREW CLAIR MITCHELL M.D.

Family Medicine

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2282

CLARICE A LEBRUN RN

Registered Nurse

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2333

DR. TODD ALAN WARREN PHARM.D.

Pharmacist

(Pharmacotherapy)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2392

DR. HELEN MEHARI TEKLAY PHARM.D

Pharmacist

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2392

DR. STEVEN JOHN LIEN D.D.S.

Dentist

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(606) 355-2264

MELISSA RANAE SCHWEISS RPH

Pharmacist

(Pharmacotherapy)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2393

LINDA JANE SANDVIK RN BSN CDE

Registered Nurse

(Diabetes Educator)

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702

(605) 355-2201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255663670, enumerated as an "individual" on February 10, 2010.

The provider is located at 3200 CANYON LAKE DR RAPID CITY, SD 57702 and the phone number is (605) 355-2229.

Specialist/Technologist, Pathology with taxonomy code 246QM0706X and a focus in Medical Technologist.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.