SUSAN MANZ LARSON MD
NPI 1003806795
Physical Medicine & Rehabilitation in Brookfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 25, 2005

Contact Information

19475 W North Ave
Brookfield,
Post Code: 53045
Phone: (262) 780-4400
Fax: (262) 780-4425

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Susan Manz Larson Md in Brookfield - Physical Medicine & Rehabilitation

Susan Manz Larson Md is a Physical Medicine & Rehabilitation in Brookfield, . Susan Manz Larson Md practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Susan Manz Larson Md is 1003806795. The last update date is 2008-01-16.

Susan Manz Larson Md's current location address is 19475 W North Ave, Brookfield, . You can contact this provider via phone number (262) 780-4400 and fax number (262) 780-4425. The mailing address for Susan Manz Larson Md is 19475 W North Ave, Brookfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003806795
Provider Name
SUSAN MANZ LARSON MD
Gender
Female
Entity Type
Individual
Location Address
19475 W North Ave, Brookfield,
Location Phone
(262) 780-4400
Location Fax
(262) 780-4425
Mailing Address
2424 S 90th St, West Allis, Wisconsin(WI)
Mailing Phone
414-328-8600
Mailing Fax
414-328-8686
Enumeration Date
2005-10-25
Last Update Date
2008-01-16
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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
-
License No.
31194020
License State
Wisconsin (WI)
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
31609800 MEDICAID (05) Wisconsin (WI)

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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.
1003806795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316012718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316012718
2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1003806795 is valid because the calculated check digit 5 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
1003806506 ALAN S HECHT
Individual
Optometrist 800 WEST AVE S
LA CROSSE, Wisconsin (WI)
608-392-9871
1003803339 JEREMI THOMAS OLSON
Individual
Physician Assistant, Surgical 700 S PARK ST
MADISON, Wisconsin (WI)
608-260-2900
1003802661 HEYDE HEALTH SYSTEM, INC
FAMILY HERITAGE CARE CENTER
Organization
Skilled Nursing Facility 345 FRENETTE DR
CHIPPEWA FALLS, Wisconsin (WI)
1003802638 STEPHEN C FULLER
Individual
Family Medicine 3916 N INTERTECH CT
APPLETON, Wisconsin (WI)
920-996-1000
1003802331 MARY R KELM
Individual
Nurse Practitioner 420 E DIVISION ST
FOND DU LAC, Wisconsin (WI)
920-926-8340