MR. JACKIE RAY JR. LSA
NPI 1962866152
Physician Assistant - Surgical in Wylie, TX
NPI Status: Active since April 13, 2016
Contact Information
2007 MEGAN CT
WYLIE, TX
ZIP 75098
Phone: (469) 658-6589
- Individual
- Male
- Physician Assistant
- Surgical
About JACKIE RAY
This page provides the complete NPI Profile along with additional information for Jackie Ray, a provider established in Wylie, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1962866152 assigned on April 2016. The practitioner's primary taxonomy code is 363AS0400X with license number SA00672 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1962866152
- Provider Name
- MR. JACKIE RAY JR. LSA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2007 MEGAN CT WYLIE, TX 75098
- Location Phone
- (469) 658-6589
- Mailing Address
- 2007 MEGAN CT WYLIE, TX 75098
- Mailing Phone
- (469) 658-6589
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-13-2016
- Last Update Date
- 08-02-2018
- 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.
- SA00672
- License State
- TX
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 | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
Group Taxonomy 193400000X MULTIPLE 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.
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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 1962866152, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962866152, enumerated as an "individual" on April 13, 2016.
The provider is located at 2007 MEGAN CT WYLIE, TX 75098 and the phone number is (469) 658-6589.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
