DIRK JON DERKSEN MD
NPI 1013902055
Family Medicine in Appleton,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 15, 2005

Contact Information

10 Wagon Wheel Dr
Appleton,
Post Code: 54913
Phone: (920) 731-6374
Fax: -

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Dirk Jon Derksen Md in Appleton - Family Medicine

Dirk Jon Derksen Md is a Family Medicine in Appleton, . Dirk Jon Derksen Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dirk Jon Derksen Md is 1013902055. The last update date is 2009-02-17.

Dirk Jon Derksen Md's current location address is 10 Wagon Wheel Dr, Appleton, . You can contact this provider via phone number (920) 731-6374 and fax number -. The mailing address for Dirk Jon Derksen Md is 10 Wagon Wheel Dr, Appleton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013902055
Provider Name
DIRK JON DERKSEN MD
Gender
Male
Entity Type
Individual
Location Address
10 Wagon Wheel Dr, Appleton,
Location Phone
(920) 731-6374
Location Fax
-
Mailing Address
10 Wagon Wheel Dr, Appleton, Wisconsin(WI)
Mailing Phone
920-731-6374
Mailing Fax
-
Enumeration Date
2005-09-15
Last Update Date
2009-02-17
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
AD6655394
License State
Wisconsin (WI)
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
31145100 MEDICAID (05) Wisconsin (WI)

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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.
1013902055
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231804010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231804010
2 + 0 + 2 + 3 + 1 + 8 + 0 + 4 + 0 + 1 + 0 + 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 1013902055 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
1003899725 FREDRICK KAMINSKY
Individual
Nurse Anesthetist, Certified Registered 464 S SAINT JOSEPH AVE
ARCADIA, Wisconsin (WI)
608-323-3341
1003899196 THOMAS DANKO
Individual
Pediatrics 1401 E STATE ST
ROCKFORD, Illinois (IL)
779-696-4400
1003898990 CHRISTI M NOWLAND
Individual
Social Worker, Clinical 319 MAIN ST STE 510
LA CROSSE, Wisconsin (WI)
608-461-1785
1003898867 KAREN ANN ZAHN
Individual
Registered Nurse, General Practice 913 MAIN ST
SURING, Wisconsin (WI)
920-842-1147
1003898255 CLAY JAMISON FRANK
Individual
Orthopaedic Surgery, Orthopaedic Surgery of the Spine 7401 104TH AVE STE 110
KENOSHA, Wisconsin (WI)
262-764-5595