FAMILY MEDICINE AT WILLOW BEND
NPI 1003800434
Clinic/center in Plano,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 31, 2005

Contact Information

5944 W Parker Rd
Plano,
Post Code: 75093
Phone: (972) 608-1868
Fax: (972) 943-8644

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Family Medicine At Willow Bend in Plano - Clinic/Center

Family Medicine At Willow Bend is a Clinic/Center in Plano, . Family Medicine At Willow Bend practices all healthcare services and medical treatments related to Clinic/Center. The NPI Number for Family Medicine At Willow Bend is 1003800434. The last update date is 2012-02-28.

Family Medicine At Willow Bend's current location address is 5944 W Parker Rd, Plano, . You can contact this provider via phone number (972) 608-1868 and fax number (972) 943-8644. The mailing address for Family Medicine At Willow Bend is 5944 W Parker Rd, Plano, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003800434
Provider Legal Name
JEFFREY C. KOMENDA, M.D., P.A.
Other Organization Name
FAMILY MEDICINE AT WILLOW BEND
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
5944 W Parker Rd, Plano,
Location Phone
(972) 608-1868
Location Fax
(972) 943-8644
Mailing Address
5944 W Parker Rd, Plano, Texas(TX)
Mailing Phone
972-608-1868
Mailing Fax
972-943-8644
Enumeration Date
2005-08-31
Last Update Date
2012-02-28
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

Clinic/Center

Taxonomy Code
261Q00000X
Type
-
License No.
H6350
License State
Texas (TX)
Taxonomy Description
-

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
10018514 Other (non-Medicare) (01) Texas (TX) Amerigroup
124934405 MEDICAID (05) Texas (TX)
165802301 MEDICAID (05) Texas (TX)
165802302 MEDICAID (05) Texas (TX)

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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.
1003800434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003160046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2003160046
2 + 0 + 0 + 3 + 1 + 6 + 0 + 0 + 4 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1003800434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003800210 SUSAN E MCCULLEY
Individual
Counselor, Professional 501 MANTOOTH AVE
LUFKIN, Texas (TX)
936-639-4993
1003800186 ANEELA N. HUSSAIN
Individual
Family Medicine 4610 E SOUTHCROSS BLVD
SAN ANTONIO, Texas (TX)
210-648-1491
1003800160 CEDAR CREEK PHARMACY
Organization
Pharmacy 606 S SEVEN POINTS DR
SEVEN POINTS, Texas (TX)
903-432-2223
1003800079 RICHARD DEAN GROSSNICKLE
Individual
Ophthalmology 2615 NE LOOP 286
PARIS, Texas (TX)
906-785-0083