RICHARD E DONNELLY P.A.-C.
NPI 1396729455
Physician Assistant - Surgical in Lakeside, AZ
NPI Status: Active since December 02, 2005
Contact Information
43 W. WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929
Phone: (928) 367-4040
Fax: (928) 367-4042
- Individual
- Male
- Physician Assistant
- Surgical
About RICHARD DONNELLY
This page provides the complete NPI Profile along with additional information for Richard Donnelly, a provider established in Lakeside, Arizona with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1396729455 assigned on December 2005. The practitioner's primary taxonomy code is 363AS0400X with license number 1105 (AZ). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1396729455
- Provider Name
- RICHARD E DONNELLY P.A.-C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 43 W. WHITE MOUNTAIN BLVD LAKESIDE, AZ 85929
- Location Phone
- (928) 367-4040
- Location Fax
- (928) 367-4042
- Mailing Address
- 43 W WHITE MOUNTAIN BLVD LAKESIDE, AZ 85929
- Mailing Phone
- (928) 367-4040
- Mailing Fax
- (928) 367-4042
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-02-2005
- Last Update Date
- 02-16-2011
- Code Navigator
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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1105
- License State
- AZ
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 Assistants & Advanced Practice Nursing Providers | Physician Assistant | 10186 (MN) |
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.
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 |
|---|---|---|---|
| 86080015085259A253 | OTHER (01) | AZ | TRIWEST |
| 970001299 | OTHER (01) | AZ | RAILROAD MEDICARE |
| R10773 | MEDICARE UPIN (02) | ||
| PA1105 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ | |
| P00338849 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | RAILROAD |
| 970002638 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | |
| 558930400 | MEDICAID (05) | MN | |
| 342254 | MEDICAID (05) | AZ |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396729455, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396729455, enumerated as an "individual" on December 02, 2005.
The provider is located at 43 W. WHITE MOUNTAIN BLVD LAKESIDE, AZ 85929 and the phone number is (928) 367-4040.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
