MCKELLIPS FAMILY MEDICAL CLINIC, PLLC
NPI 1659787497
Family Medicine in Mesa, AZ

NPI Status: Active since July 01, 2014

Contact Information

3514 N POWER RD
BLDG. 1, SUITE 105
MESA, AZ
ZIP 85215
Phone: (480) 422-8533

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  • Organization
  • Family Medicine

About MCKELLIPS FAMILY MEDICAL CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Mckellips Family Medical Clinic, Pllc, a primary care provider established in Mesa, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1659787497 assigned on July 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Carl Ferguson Do (Provider)

NPI
1659787497
Provider Name
MCKELLIPS FAMILY MEDICAL CLINIC, PLLC
Entity Type
Organization
Location Address
3514 N POWER RD BLDG. 1, SUITE 105 MESA, AZ 85215
Location Phone
(480) 422-8533
Mailing Address
3514 N POWER RD STE 105 MESA, AZ 85215
Mailing Phone
(480) 422-8533
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2014
Last Update Date
11-01-2019
Code Navigator

A primary care provider (PCP) like Mckellips Family Medical Clinic, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL FERGUSON DO

Authorized Official Title
PROVIDER
Authorized Official Phone
(480) 830-1553

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
7200350001OTHER (01)AZPTAN
273665MEDICAID (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 1659787497, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 4 + 8 + 1 + 4 + 4 + 1 + 8 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1659787497.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Massage Therapist
3514 N POWER RD, STE 104
MESA, AZ 85215
Clinic/Center (Physical Therapy)
3514 N POWER RD, SUITE 133
MESA, AZ 85215
Internal Medicine (Cardiovascular Disease)
3514 N POWER RD, SUITE 107
MESA, AZ 85215
Nurse Practitioner (Adult Health)
3514 N POWER RD, SUITE 118
MESA, AZ 85215
Nurse Practitioner (Family)
3514 N POWER RD, SUITE 118
MESA, AZ 85215
Durable Medical Equipment & Medical Supplies
3514 N POWER RD, 105
MESA, AZ 85215
Phlebology
3514 N POWER RD, SUITE 118
MESA, AZ 85215
Phlebology
3514 N POWER RD, SUITE 118
MESA, AZ 85215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659787497, enumerated as an "organization" on July 01, 2014.

The provider is located at 3514 N POWER RD BLDG. 1, SUITE 105 MESA, AZ 85215 and the phone number is (480) 422-8533.

Family Medicine with taxonomy code 207Q00000X.

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