JAMES G LIESEN DO
NPI 1003815291
Pediatrics in Bolivar,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 19, 2005

Contact Information

1500 N Oakland Ave
Bolivar,
Post Code: 65613
Phone: (417) 328-6501
Fax: (417) 328-6338

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James G Liesen Do in Bolivar - Pediatrics

James G Liesen Do is a Pediatrics in Bolivar, . James G Liesen Do practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for James G Liesen Do is 1003815291. The last update date is 2017-02-23.

James G Liesen Do's current location address is 1500 N Oakland Ave, Bolivar, . You can contact this provider via phone number (417) 328-6501 and fax number (417) 328-6338. The mailing address for James G Liesen Do is 1500 N Oakland Ave, Bolivar, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003815291
Provider Name
JAMES G LIESEN DO
Gender
Male
Entity Type
Individual
Location Address
1500 N Oakland Ave, Bolivar,
Location Phone
(417) 328-6501
Location Fax
(417) 328-6338
Mailing Address
1195 N Oakland Ave, Bolivar, Missouri(MO)
Mailing Phone
417-777-2121
Mailing Fax
417-777-2854
Enumeration Date
2005-07-19
Last Update Date
2017-02-23
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

Pediatrics

Taxonomy Code
208000000X
Type
-
License No.
2008032320
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 208000000X Pediatrics Physician

Pediatrics

2101 (West Virginia)

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
3810002037 MEDICAID (05) West Virginia (WV)

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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.
1003815291
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316110218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316110218
2 + 0 + 0 + 3 + 1 + 6 + 1 + 1 + 0 + 2 + 1 + 8 + 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 1003815291 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
1003814328 ADAIR COUNTY AMBULANCE DISTRICT
Organization
Ambulance, Land Transport 606 W POTTER AVE
KIRKSVILLE, Missouri (MO)
660-665-0000
1003814203 PIKE COUNTY HEALTH DEPT HOME HEALTH
Organization
Home Health 1 HEALTH CARE PLACE
BOWLING GREEN, Missouri (MO)
573-324-2111
1003814179 MICHAEL D DAVID
Individual
Family Medicine PO BOX 3810
JOPLIN, Missouri (MO)
417-347-2273
1003813957 TERESA J NICHOLS
Individual
Social Worker, Clinical PO BOX 128
BLODGETT, Missouri (MO)
573-703-6667
1003812918 KAREN S. HAYES
Individual
Nurse Practitioner PO BOX 1500
OSAGE BEACH, Missouri (MO)