WILLIAM NATHAN LISBERG MD
NPI 1003816075
Radiology, Diagnostic Radiology in Plymouth,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 29, 2005

Contact Information

2800 Campus Dr
Plymouth,
Post Code: 55441
Phone: (763) 559-2171
Fax: (763) 694-9000

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William Nathan Lisberg Md in Plymouth - Radiology, Diagnostic Radiology

William Nathan Lisberg Md is a Radiology, Diagnostic Radiology in Plymouth, . William Nathan Lisberg Md practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for William Nathan Lisberg Md is 1003816075. The last update date is 2009-03-03.

William Nathan Lisberg Md's current location address is 2800 Campus Dr, Plymouth, . You can contact this provider via phone number (763) 559-2171 and fax number (763) 694-9000. The mailing address for William Nathan Lisberg Md is 2800 Campus Dr, Plymouth, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003816075
Provider Name
WILLIAM NATHAN LISBERG MD
Gender
Male
Entity Type
Individual
Location Address
2800 Campus Dr, Plymouth,
Location Phone
(763) 559-2171
Location Fax
(763) 694-9000
Mailing Address
3300 Oakdale Ave N, Robbinsdale, Minnesota(MN)
Mailing Phone
763-559-2171
Mailing Fax
763-694-9000
Enumeration Date
2005-07-29
Last Update Date
2009-03-03
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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
28413
License State
Minnesota (MN)
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 2085U0001X Diagnostic Ultrasound Physician

Radiology, Diagnostic Ultrasound

28413 (Minnesota)
2 2085B0100X Body Imaging Physician

Radiology, Body Imaging

28413 (Minnesota)
3 2085N0700X Neuroradiology Physician

Radiology, Neuroradiology

28413 (Minnesota)
4 2085N0904X Nuclear Radiology Physician

Radiology, Nuclear Radiology

28413 (Minnesota)

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
893072400 MEDICAID (05) Minnesota (MN)

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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.
1003816075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316112014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316112014
2 + 0 + 0 + 3 + 1 + 6 + 1 + 1 + 2 + 0 + 1 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5 5

The NPI number 1003816075 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
1003815051 JENNIFER J ROGAN
Individual
Pediatrics 1900 CENTRACARE CIRCLE
ST CLOUD, Minnesota (MN)
320-654-3630
1003814161 CLARKE A. MCKINNEY
FREEDOM CARS
Organization
Durable Medical Equipment & Medical Supplies 4711 CLARK AVE
WHITE BEAR LAKE, Minnesota (MN)
651-429-6323
1003813635 RED WING OPTOMETRIC CLINIC, P.A.
EYE CARE ASSOCIATES
Organization
Optometrist 164 TYLER RD S
RED WING, Minnesota (MN)
651-388-9187
1003812991 MARK EUGENE BREWER
Individual
Chiropractor 3800 SHORELINE DR
WAYZATA, Minnesota (MN)
952-471-2555
1003811571 GOOD SHEPHERD LUTHERAN HOME
Organization
Skilled Nursing Facility PO BOX 747
RUSHFORD, Minnesota (MN)
507-864-7714