KEN E QUALLS SA-C NPI 1376168054
Specialist/Technologist, Other - Surgical Assistant in Dumas, TX
About KEN E QUALLS SA-C
Ken Qualls is a provider established in Dumas, Texas and his medical specialization is Specialist/technologist, Other with a focus in surgical assistant . The NPI number of Ken Qualls is 1376168054 and was assigned on June 2020. The practitioner's primary taxonomy code is 246ZC0007X with license number 20-226 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1376168054 |
| Provider Name | KEN E QUALLS SA-C |
| Provider Location Address | 224 E 2ND ST DUMAS, TX 79029 |
| Provider Mailing Address | 101 BELLAIRE AVE DUMAS, TX 79029 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-09-2020 |
| Last Update Date | 06-09-2020 |
Ken Qualls is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
Primary Taxonomy
| Taxonomy Code | 246ZC0007X |
| Classification | Specialist/Technologist, Other |
| Type | Technologists, Technicians & Other Technical Service Providers |
| Specialization | Surgical Assistant |
| License No. | 20-226 |
| License State | TX |
| Taxonomy Description | A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Business Address
KEN E QUALLS SA-C
224 E 2ND ST
DUMAS, TX
ZIP 79029
Phone: (806) 935-7171
Fax: (806) 935-9702
Mailing Address
KEN E QUALLS SA-C
101 BELLAIRE AVE
DUMAS, TX
ZIP 79029
Phone: (806) 338-1228
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. | |||||||||
| 1 | 3 | 7 | 6 | 1 | 6 | 8 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 2 | 6 | 16 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 2 + 6 + 1 + 6 + 0 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1376168054 is valid because the calculated check digit 4 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861569501 | DR. MANISHA WAGLE MD Individual | Anesthesiology | 224 E 2ND ST DUMAS, TX 79029 (806) 934-7839 |
| 1700924198 | MRS. ANGELA MARIE JORDAN PTA Individual | Physical Therapy Assistant | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1992844302 | MISS JANA MARIE MCCLOY OTR Individual | Occupational Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1003003625 | HARRIS DIAGNOSTIC IMAGING CONSULTANTS, PA Organization | Radiology (Diagnostic Radiology) | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1639333693 | MOORE COUNTY PHYSICIAN GROUP Organization | Anesthesiology | 224 E 2ND ST DUMAS, TX 79029 (806) 934-7813 |
| 1790734515 | CANADIAN RIVER EMERGENCY PHYSICIANS PLLC Organization | Emergency Medicine | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1497813588 | DR. STELLA TAN MD Individual | Anesthesiology | 224 E 2ND ST DUMAS, TX 79029 (806) 934-7839 |
| 1184685299 | FAH S LEONG MD Individual | Radiology (Diagnostic Radiology) | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1265709158 | MS. BERETTE HART R.D., L.D. Individual | Dietitian, Registered | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1528184728 | CORI LAWSON MS, CCC-SLP Individual | Speech-Language Pathologist | 224 E 2ND ST DUMAS, TX 79029 (806) 934-2225 |
| 1255698213 | JUSTIN MICHAEL CORBIN M.D. Individual | Family Medicine | 224 E 2ND ST DUMAS, TX 79029 (806) 934-7171 |
| 1639548258 | CHRISTINE KIMBRELL MSPT Individual | Physical Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1790155380 | DOROTHY SCHWERTNER Individual | Occupational Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1558731737 | ANTOINE VALCOURT Individual | Occupational Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1992176416 | FRANCES GO Individual | Physical Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1093243784 | ADAM LEE FIEBER CRNA Individual | Nurse Anesthetist, Certified Registered | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1518500420 | TIMOTHY ROBERT MICHAUD OTR Individual | Occupational Therapist | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1841806791 | MOORE COUNTY PHO LLC Organization | Family Medicine | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1982998365 | DR. LAUREN MICHELLE SCHAUB M.D. Individual | Obstetrics & Gynecology (Gynecology) | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
| 1932603933 | JOSEF ALDRIN CRUZ APOLINARIO MD Individual | Internal Medicine | 224 E 2ND ST DUMAS, TX 79029 (806) 935-7171 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Ken E Qualls Sa-c is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.