DR. KELLY JANE BLACK MD
NPI 1700096955
Emergency Medicine - Sports Medicine in Phoenix, AZ
NPI Status: Active since May 23, 2007
Contact Information
4530 N 32ND ST STE 102
PHOENIX, AZ
ZIP 85018
Phone: (602) 493-1626
- Individual
- Female
- Emergency Medicine
- Sports Medicine
About KELLY BLACK
This page provides the complete NPI Profile along with additional information for Kelly Black, a provider established in Phoenix, Arizona with a medical specialization in Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1700096955 assigned on May 2007. The practitioner's primary taxonomy code is 207PS0010X with license number 24733 (AZ). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1700096955
- Provider Name
- DR. KELLY JANE BLACK MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4530 N 32ND ST STE 102 PHOENIX, AZ 85018
- Location Phone
- (602) 493-1626
- Mailing Address
- 3119 E PUGET AVE PHOENIX, AZ 85028
- Mailing Phone
- (602) 493-1626
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 07-08-2007
- 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
Emergency Medicine Sports Medicine
- Taxonomy Code
- 207PS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24733
- License State
- AZ
- Taxonomy Description
- An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
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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 1700096955, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PHOENIX, AZ 85018
PHOENIX, AZ 85018
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700096955, enumerated as an "individual" on May 23, 2007.
The provider is located at 4530 N 32ND ST STE 102 PHOENIX, AZ 85018 and the phone number is (602) 493-1626.
Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.
