KELLY JACKSON
NPI 1831582204
Physician Assistant - Surgical in Scottsdale, AZ

NPI Status: Active since March 10, 2015

Contact Information

9345 E VOLTAIRE AVE
SCOTTSDALE, AZ
ZIP 85260
Phone: (214) 227-2457
Fax: (214) 764-0880

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  • Organization
  • Physician Assistant
  • Surgical

About KELLY JACKSON

This page provides the complete NPI Profile along with additional information for Kelly Jackson, a provider established in Scottsdale, Arizona operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1831582204 assigned on March 2015. The practitioner's primary taxonomy code is 363AS0400X with license number AP4200 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. Kelly Jackson operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kelly Jackson Np (Owner)

NPI
1831582204
Provider Name
KELLY JACKSON
Entity Type
Organization
Location Address
9345 E VOLTAIRE AVE SCOTTSDALE, AZ 85260
Location Phone
(214) 227-2457
Location Fax
(214) 764-0880
Mailing Address
9345 E VOLTAIRE AVE SCOTTSDALE, AZ 85260
Mailing Phone
(214) 227-2457
Mailing Fax
(214) 764-0880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2015
Last Update Date
03-10-2015
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP4200
License State
AZ

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

KELLY JACKSON NP

Authorized Official Title
OWNER
Authorized Official Phone
(214) 227-2457

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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 1831582204, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 3 → 6 5 → 10 → 1 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 1 + 0 + 8 + 4 + 2 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1831582204.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831582204, enumerated as an "organization" on March 10, 2015.

The provider is located at 9345 E VOLTAIRE AVE SCOTTSDALE, AZ 85260 and the phone number is (214) 227-2457.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.