LISA G. DISTEFANO M.D.
NPI 1003810789
Internal Medicine in Overland Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 9, 2005

Contact Information

12541 Foster St Ste 300
Overland Park,
Post Code: 66213
Phone: (913) 317-3200
Fax: (913) 317-3218

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Lisa G. Distefano M.d. in Overland Park - Internal Medicine

Lisa G. Distefano M.d. is a Internal Medicine in Overland Park, . Lisa G. Distefano M.d. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lisa G. Distefano M.d. is 1003810789. The last update date is 2024-11-12.

Lisa G. Distefano M.d.'s current location address is 12541 Foster St Ste 300, Overland Park, . You can contact this provider via phone number (913) 317-3200 and fax number (913) 317-3218. The mailing address for Lisa G. Distefano M.d. is 12541 Foster St Ste 300, Overland Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003810789
Provider Name
LISA G. DISTEFANO M.D.
Gender
Female
Entity Type
Individual
Location Address
12541 Foster St Ste 300, Overland Park,
Location Phone
(913) 317-3200
Location Fax
(913) 317-3218
Mailing Address
12541 Foster St Ste 300, Overland Park, Kansas(KS)
Mailing Phone
913-317-3200
Mailing Fax
913-317-3218
Enumeration Date
2005-06-09
Last Update Date
2024-11-12
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

Taxonomy Code
207R00000X
Type
-
License No.
0450138
License State
Kansas (KS)
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 207R00000X Internal Medicine Physician

Internal Medicine

119536 (Missouri)
2 208000000X Pediatrics Physician

Pediatrics

119536 (Missouri)

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

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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.
1003810789
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031610716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031610716
2 + 0 + 0 + 3 + 1 + 6 + 1 + 0 + 7 + 1 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9 9

The NPI number 1003810789 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
1003810466 REBOUND PHYSICAL THERAPY INC.
Organization
Physical Therapist, Orthopedic 5220 SW 17TH ST
TOPEKA, Kansas (KS)
785-271-5533
1003809161 SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE
Organization
Orthopaedic Surgery, Sports Medicine PO BOX 623
CHANUTE, Kansas (KS)
620-431-0887
1003808320 LISA MARIE MADSEN
Individual
Internal Medicine 23351 PRAIRIE STAR PKWY
LENEXA, Kansas (KS)
913-676-8630
1003807421 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GOOD SAMARITAN SOCIETY - OLATHE
Organization
Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies 20705 W 151ST ST
OLATHE, Kansas (KS)
913-782-1372
1003807264 MARIE ELAINE MCENTEE
Individual
Physician Assistant RR 2 BOX 38
LEOTI, Kansas (KS)
620-375-2233