KELLEY RAE LOCKHART M.D.
NPI 1033192679
Internal Medicine, Critical Care Medicine in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 29, 2005

Contact Information

11104 Parkview Circle Dr Ste 110
Fort Wayne,
Post Code: 46845
Phone: (260) 425-6780
Fax: (260) 425-6789

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Kelley Rae Lockhart M.d. in Fort Wayne - Internal Medicine, Critical Care Medicine

Kelley Rae Lockhart M.d. is a Internal Medicine, Critical Care Medicine in Fort Wayne, . Kelley Rae Lockhart M.d. practices all healthcare services and medical treatments related to Internal Medicine, Critical Care Medicine. The NPI Number for Kelley Rae Lockhart M.d. is 1033192679. The last update date is 2023-01-17.

Kelley Rae Lockhart M.d.'s current location address is 11104 Parkview Circle Dr Ste 110, Fort Wayne, . You can contact this provider via phone number (260) 425-6780 and fax number (260) 425-6789. The mailing address for Kelley Rae Lockhart M.d. is 11104 Parkview Circle Dr Ste 110, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1033192679
Provider Name
KELLEY RAE LOCKHART M.D.
Gender
Female
Entity Type
Individual
Location Address
11104 Parkview Circle Dr Ste 110, Fort Wayne,
Location Phone
(260) 425-6780
Location Fax
(260) 425-6789
Mailing Address
2222 N Nevada Ave Ste 4004, Colorado Springs, Colorado(CO)
Mailing Phone
719-471-7064
Mailing Fax
-
Enumeration Date
2005-11-29
Last Update Date
2023-01-17
Code Navigator

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

Internal Medicine, Critical Care Medicine

Taxonomy Code
207RC0200X
Type
-
License No.
01082503A
License State
Indiana (IN)
Taxonomy Description
-

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 207RC0200X Critical Care Medicine (Internal Medicine) Physician

Internal Medicine, Critical Care Medicine

DR.0054479 (Colorado)
2 207RP1001X Pulmonary Disease Physician

Internal Medicine, Pulmonary Disease

47972 (Minnesota)

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
956422500 MEDICAID (05) Minnesota (MN)

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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.
1033192679
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063294614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2063294614
2 + 0 + 6 + 3 + 2 + 9 + 4 + 6 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1033192679 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1013910033 GARRICK P HUBBARD
Individual
Specialist 11590 N MERIDIAN ST STE 400
CARMEL, Indiana (IN)
317-708-2839
1023011244 SCOTT A FRETZIN
Individual
Dermatology 7910 N SHADELAND AVE
INDIANAPOLIS, Indiana (IN)
317-516-5000
1013910223 BINH QUY NGUYEN
Individual
Ophthalmology 759 45TH AVE
MUNSTER, Indiana (IN)
219-922-6226
1033112297 ASUNCION U DEWITT
Individual
Specialist PO BOX 9524
TERRE HAUTE, Indiana (IN)
812-244-0100