WILLIAM R KELLEY MD PROF CORP
NPI 1780804583
Radiology - Diagnostic Radiology in Fort Mohave, AZ

NPI Status: Active since April 26, 2007

Contact Information

1510 E WAGON WHEEL LN STE 110
FORT MOHAVE, AZ
ZIP 86426
Phone: (928) 788-3333
Fax: (928) 788-3555

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Radiology
Diagnostic Radiology

About WILLIAM R KELLEY MD PROF CORP

This page provides the complete NPI Profile along with additional information for William R Kelley Md Prof Corp, a provider established in Fort Mohave, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1780804583 assigned on April 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is William Kelley Md (Owner)

NPI: 1780804583
Provider Name: WILLIAM R KELLEY MD PROF CORP
Entity Type: Organization
Location Address: 1510 E WAGON WHEEL LN STE 110 FORT MOHAVE, AZ 86426
Location Phone: (928) 788-3333
Location Fax: (928) 788-3555
Mailing Address: 1101 CUMBERLAND XING # 253 VALPARAISO, IN 46383
Mailing Phone: (928) 234-5884
Mailing Fax: (928) 788-3555
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-26-2007
Last Update Date: 05-07-2019
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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: Radiology Diagnostic Radiology
Taxonomy Code: 2085R0202X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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: WILLIAM KELLEY MD
Authorized Official Title: OWNER
Authorized Official Phone: (928) 234-5884

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	7	8	0	8	0	4	5	8	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	16	0	16	0	8	5	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 0 + 8 + 5 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1780804583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.