DR. KELLY DEAN SKANCHY M.D.
NPI 1154313971
Family Medicine - Sports Medicine in San Diego, CA
NPI Status: Active since August 18, 2005
Contact Information
2450 CRAVEN ST BLDG 3300
NAVAL HEALTH CLINIC NAVAL STATION SAN DIEGO
SAN DIEGO, CA
ZIP 92136
Phone: (619) 556-5936
Fax: (619) 556-9419
- Individual
- Male
- Family Medicine
- Sports Medicine
About KELLY SKANCHY
This page provides the complete NPI Profile along with additional information for Kelly Skanchy, a primary care provider established in San Diego, California with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1154313971 assigned on August 2005. The practitioner's primary taxonomy code is 207QS0010X with license number GFE83510 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1154313971
- Provider Name
- DR. KELLY DEAN SKANCHY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2450 CRAVEN ST BLDG 3300 NAVAL HEALTH CLINIC NAVAL STATION SAN DIEGO SAN DIEGO, CA 92136
- Location Phone
- (619) 556-5936
- Location Fax
- (619) 556-9419
- Mailing Address
- 2450 CRAVEN ST BLDG 3300 NAVAL HEALTH CLINIC NAVAL BASE SAN DIEGO SAN DIEGO, CA 92136
- Mailing Phone
- (619) 556-5936
- Mailing Fax
- (619) 556-9419
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-18-2005
- Last Update Date
- 04-29-2014
- Code Navigator
A primary care provider (PCP) like Kelly Skanchy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- GFE83510
- License State
- CA
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | MD044935L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| VAD0000 | MEDICARE UPIN (02) | CA |
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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. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 1 | 3 | 9 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 1 | 6 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 1 + 6 + 9 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1154313971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336533306 | GERMAN CEA Individual | Student in an Organized Health Care Education/Training Program | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 556-9419 |
| 1447305172 | DR. JEFFREY LLOYD LESTER M.D. Individual | Family Medicine | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 556-8101 |
| 1194239616 | DEBORAH PEREZ ATC Individual | Specialist/Technologist (Athletic Trainer) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (559) 719-9211 |
| 1497220792 | ANTHONY BANAAG Individual | Specialist/Technologist (Athletic Trainer) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 556-7931 |
| 1669146528 | DR. CHRISTOPHER AGOSTINHO VIEIRA D.D.S Individual | Dentist | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (443) 838-7778 |
| 1326299140 | DR. LARRY M COWLES D.O. Individual | Family Medicine (Sports Medicine) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 881-9202 |
| 1457629495 | AARON ANDREW KENNA D.C. Individual | Chiropractor | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (858) 900-3179 |
| 1447079595 | RAYMOND M WHEELER Individual | Military Health Care Provider (Independent Duty Corpsman) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 881-9202 |
| 1093469017 | JOSHUA BENNETT PA-C Individual | Physician Assistant (Medical) | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 881-9202 |
| 1194033415 | ERIKA M KAHEAKU-ENHADA PA-C Individual | Physician Assistant | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (858) 556-8061 |
| 1770776254 | DR. MIKAYLA RAE SANCHEZ OD Individual | Optometrist | 2450 CRAVEN ST BLDG 3300 SAN DIEGO, CA 92136 (619) 556-8063 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154313971, enumerated in the NPI registry as an "individual" on August 18, 2005
The provider is located at 2450 Craven St Bldg 3300 Naval Health Clinic Naval Station San Diego San Diego, Ca 92136 and the phone number is (619) 556-5936
The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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