LARISA P GAVRILOVA-JORDAN M.D.
NPI 1003895780
Obstetrics & Gynecology, Reproductive Endocrinology in Augusta,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 11, 2006

Contact Information

1120 15th St
Augusta,
Post Code: 30912
Phone: (706) 724-6100
Fax: -

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Larisa P Gavrilova-jordan M.d. in Augusta - Obstetrics & Gynecology, Reproductive Endocrinology

Larisa P Gavrilova-jordan M.d. is a Obstetrics & Gynecology, Reproductive Endocrinology in Augusta, . Larisa P Gavrilova-jordan M.d. practices all healthcare services and medical treatments related to Obstetrics & Gynecology, Reproductive Endocrinology. The NPI Number for Larisa P Gavrilova-jordan M.d. is 1003895780. The last update date is 2019-06-24.

Larisa P Gavrilova-jordan M.d.'s current location address is 1120 15th St, Augusta, . You can contact this provider via phone number (706) 724-6100 and fax number -. The mailing address for Larisa P Gavrilova-jordan M.d. is 1120 15th St, Augusta, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003895780
Provider Name
LARISA P GAVRILOVA-JORDAN M.D.
Gender
Female
Entity Type
Individual
Location Address
1120 15th St, Augusta,
Location Phone
(706) 724-6100
Location Fax
-
Mailing Address
1499 Walton Way, Augusta, Georgia(GA)
Mailing Phone
706-724-6100
Mailing Fax
-
Enumeration Date
2006-01-11
Last Update Date
2019-06-24
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

Obstetrics & Gynecology, Reproductive Endocrinology

Taxonomy Code
207VE0102X
Type
-
License No.
70748
License State
Georgia (GA)
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 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

46727 (Minnesota)
2 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

2006-00745 (North Carolina)

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
891448600 MEDICAID (05) Minnesota (MN)
5909224 MEDICAID (05) North Carolina (NC)

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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.
1003895780
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316910716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316910716
2 + 0 + 0 + 3 + 1 + 6 + 9 + 1 + 0 + 7 + 1 + 6 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1003895780 is valid because the calculated check digit 0 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
1003895384 DAVID E KARDON
Individual
Pathology, Anatomic Pathology & Clinical Pathology PO BOX 744326
ATLANTA, Georgia (GA)
240-364-2550
1003895368 BRETT RAYMOND LANGSTON
Individual
Dentist 1991 N WILLIAMSBURG DR
DECATUR, Georgia (GA)
706-877-6526
1003893678 CHRISTOPHER EMANUEL
Individual
Pediatrics 3945 SAN JOSE PARK DR
JACKSONVILLE, Florida (FL)
904-731-3530
1003893231 GARY P FISH
Individual
Chiropractor 455 W CROSSVILLE RD
ROSWELL, Georgia (GA)
770-518-7700
1003893199 AMIR HARANDI
Individual
Internal Medicine, Hematology 5985 SILVER FALLS RUN STE 200
BRADENTON, Florida (FL)
941-907-4737