EDDIE LYNN PAULK D.O.
NPI 1003813601
Internal Medicine in Maryville,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 29, 2005

Contact Information

6812 State Route 162 Ste 21
Maryville,
Post Code: 62062
Phone: (618) 288-5566
Fax: (618) 288-4005

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Eddie Lynn Paulk D.o. in Maryville - Internal Medicine

Eddie Lynn Paulk D.o. is a Internal Medicine in Maryville, . Eddie Lynn Paulk D.o. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Eddie Lynn Paulk D.o. is 1003813601. The last update date is 2024-08-28.

Eddie Lynn Paulk D.o.'s current location address is 6812 State Route 162 Ste 21, Maryville, . You can contact this provider via phone number (618) 288-5566 and fax number (618) 288-4005. The mailing address for Eddie Lynn Paulk D.o. is 6812 State Route 162 Ste 21, Maryville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003813601
Provider Name
EDDIE LYNN PAULK D.O.
Gender
Male
Entity Type
Individual
Location Address
6812 State Route 162 Ste 21, Maryville,
Location Phone
(618) 288-5566
Location Fax
(618) 288-4005
Mailing Address
6810 State Route 162 Box 215, Maryville, Illinois(IL)
Mailing Phone
618-391-6405
Mailing Fax
618-288-4088
Enumeration Date
2005-06-29
Last Update Date
2024-08-28
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

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
R9H10
License State
Missouri (MO)
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 208D00000X General Practice Physician

General Practice

R9H10 (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
242830743 MEDICAID (05) Missouri (MO)

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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.
1003813601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003161660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2003161660
2 + 0 + 0 + 3 + 1 + 6 + 1 + 6 + 6 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1003813601 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003813007 ARCHANA A DAVE
Individual
Driver 1091 WHITTINGTON CT
GURNEE, Illinois (IL)
847-414-7684
1003812934 THOMAS L COTTRELL
Individual
Urology 2 W TALCOTT RD
PARK RIDGE, Illinois (IL)
847-297-2240
1003812876 AURELIA Z. PEERA
Individual
Specialist 4801 W PETERSON AVE
CHICAGO, Illinois (IL)
773-777-5437
1003812777 SERVICE MEDICAL EQUIPMENT, INC
Organization
Durable Medical Equipment & Medical Supplies PO BOX 266
WESTMONT, Illinois (IL)
888-848-1900
1003812579 GARY GUSTAVSON
Individual
Dentist 64 OLD ORCHARD CTR
SKOKIE, Illinois (IL)
847-675-3311