FRED BLACKLEDGE M.D.
NPI 1003890179
Plastic Surgery in Jackson,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 2, 2005

Contact Information

Po Box 24023
Jackson,
Post Code: 39225
Phone: (601) 366-1400
Fax: (601) 366-8167

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Fred Blackledge M.d. in Jackson - Plastic Surgery

Fred Blackledge M.d. is a Plastic Surgery in Jackson, . Fred Blackledge M.d. practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Fred Blackledge M.d. is 1003890179. The last update date is 2007-07-08.

Fred Blackledge M.d.'s current location address is Po Box 24023, Jackson, . You can contact this provider via phone number (601) 366-1400 and fax number (601) 366-8167. The mailing address for Fred Blackledge M.d. is Po Box 24023, Jackson, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003890179
Provider Name
FRED BLACKLEDGE M.D.
Gender
Male
Entity Type
Individual
Location Address
Po Box 24023, Jackson,
Location Phone
(601) 366-1400
Location Fax
(601) 366-8167
Mailing Address
764 Lakeland Dr, Jackson, Mississippi(MS)
Mailing Phone
601-981-3033
Mailing Fax
601-982-8132
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
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

Plastic Surgery

Taxonomy Code
208200000X
Type
-
License No.
16006
License State
Mississippi (MS)
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

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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.
1003890179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031690114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031690114
2 + 0 + 0 + 3 + 1 + 6 + 9 + 0 + 1 + 1 + 4 + 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 1003890179 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003814104 AARON E HENRY COMMUNITY HEALTH
Organization
Clinic/Center, Federally Qualified Health Center (FQHC) 216 HIGHWAY 51 N
BATESVILLE, Mississippi (MS)
662-563-1858
1003817982 ERIC D. LAWSON
Individual
Radiology, Diagnostic Radiology PO BOX 1330
GULFPORT, Mississippi (MS)
228-864-4392
1003808882 GREENWOOD UROLOGY CLINIC, P.A.
Organization
Urology 205 8TH ST
GREENWOOD, Mississippi (MS)
662-453-6732
1003805862 WOODS DRUG STORE INC
MAIN STREET PHARMACY
Organization
Pharmacy 315 W MAIN ST
CHARLESTON, Mississippi (MS)