DOMINICK DETOMMASO D.P.M.
NPI 1013910041
Podiatrist, Foot & Ankle Surgery in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

7601 W Jefferson Blvd
Fort Wayne,
Post Code: 46804
Phone: (260) 436-8686
Fax: (260) 436-8585

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Dominick Detommaso D.p.m. in Fort Wayne - Podiatrist, Foot & Ankle Surgery

Dominick Detommaso D.p.m. is a Podiatrist, Foot & Ankle Surgery in Fort Wayne, . Dominick Detommaso D.p.m. practices all healthcare services and medical treatments related to Podiatrist, Foot & Ankle Surgery. The NPI Number for Dominick Detommaso D.p.m. is 1013910041. The last update date is 2016-03-22.

Dominick Detommaso D.p.m.'s current location address is 7601 W Jefferson Blvd, Fort Wayne, . You can contact this provider via phone number (260) 436-8686 and fax number (260) 436-8585. The mailing address for Dominick Detommaso D.p.m. is 7601 W Jefferson Blvd, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013910041
Provider Name
DOMINICK DETOMMASO D.P.M.
Gender
Male
Entity Type
Individual
Location Address
7601 W Jefferson Blvd, Fort Wayne,
Location Phone
(260) 436-8686
Location Fax
(260) 436-8585
Mailing Address
7601 W Jefferson Blvd, Fort Wayne, Indiana(IN)
Mailing Phone
260-436-8686
Mailing Fax
260-436-8585
Enumeration Date
2005-05-23
Last Update Date
2016-03-22
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

Podiatrist, Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
-
License No.
07000410A
License State
Indiana (IN)
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 213E00000X Podiatrist

Podiatrist

07000410A (Indiana)

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
00000089407 Other (non-Medicare) (01) () Anthem
100053980A MEDICAID (05) Indiana (IN)
200021084 Other (non-Medicare) (01) () Railroad Medicare

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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.
1013910041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023181008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2023181008
2 + 0 + 2 + 3 + 1 + 8 + 1 + 0 + 0 + 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 1013910041 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
1013910033 GARRICK P HUBBARD
Individual
Specialist 11590 N MERIDIAN ST STE 400
CARMEL, Indiana (IN)
317-708-2839
1013909241 DANIEL LLOYD WEGG
Individual
General Practice 386 SYMMES CENTER DR STE 1
WINCHESTER, Indiana (IN)
765-857-2523
1013909068 ANTHONY M MATTERA
Individual
Family Medicine, Geriatric Medicine 732 ROYAL DUBLIN LN
DYER, Indiana (IN)
219-864-2235
1013908904 MARION ANESTHESIOLOGY, PC
Organization
Anesthesiology PO BOX 6069
INDIANAPOLIS, Indiana (IN)
317-802-6312
1013907922 AMBUCARE CLINIC
Organization
Family Medicine 3387 S US HIGHWAY 41
TERRE HAUTE, Indiana (IN)
812-232-5532