EVANSTON CLINIC CORP
NPI 1013916519
Nurse Practitioner, Family in Evanston,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 18, 2005

Contact Information

196 Arrowhead Dr Ste 8
Evanston,
Post Code: 82930
Phone: (307) 783-8365
Fax: (307) 783-8284

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Evanston Clinic Corp in Evanston - Nurse Practitioner, Family

Evanston Clinic Corp is a Nurse Practitioner, Family in Evanston, . Evanston Clinic Corp practices all healthcare services and medical treatments related to Nurse Practitioner, Family. The NPI Number for Evanston Clinic Corp is 1013916519. The last update date is 2019-03-04.

Evanston Clinic Corp's current location address is 196 Arrowhead Dr Ste 8, Evanston, . You can contact this provider via phone number (307) 783-8365 and fax number (307) 783-8284. The mailing address for Evanston Clinic Corp is 196 Arrowhead Dr Ste 8, Evanston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013916519
Provider Legal Name
EVANSTON CLINIC CORP
Other Organization Name
EVANSTON CLINIC CORP
Other Name Type
-
Entity Type
Organization
Location Address
196 Arrowhead Dr Ste 8, Evanston,
Location Phone
(307) 783-8365
Location Fax
(307) 783-8284
Mailing Address
Po Box 5009, Brentwood, Tennessee(TN)
Mailing Phone
615-221-1400
Mailing Fax
615-465-2984
Enumeration Date
2005-07-18
Last Update Date
2019-03-04
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.
-
License State
Wyoming (WY)
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 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

()
2 207R00000X Internal Medicine Physician

Internal Medicine

(Wyoming)
3 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

(Wyoming)
4 208600000X Surgery Physician

Surgery

(Wyoming)
5 208800000X Urology Physician

Urology

(Wyoming)
6 208D00000X General Practice Physician

General Practice

()
7 363A00000X Physician Assistant

Physician Assistant

()
8 363AM0700X Medical Physician Assistant

Physician Assistant, Medical

()

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
06159001 Other (non-Medicare) (01) Wyoming (WY) BCBS
1013916519 MEDICAID (05) Wyoming (WY)

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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.
1013916519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231811252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231811252
2 + 0 + 2 + 3 + 1 + 8 + 1 + 1 + 2 + 5 + 2 + 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 1013916519 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
1003812694 FREMONT COUNSELING SERVICE
Organization
Clinic/Center, Rehabilitation, Substance Use Disorder 748 MAIN ST
LANDER, Wyoming (WY)
307-332-2231
1013900547 GREGORY H CROSS
Individual
Radiology, Diagnostic Radiology PO BOX 1829
COEUR D ALENE, Idaho (ID)
800-667-9334
1003805698 ROBERT F ELLIS
Individual
Obstetrics & Gynecology 449 MOUNTAIN VIEW ST
POWELL, Wyoming (WY)
307-754-4559
1003894122 JOHNSON COUNTY MEMORIAL HOSPITAL
JOHNSON COUNTY HEALTHCARE CENTER
Organization
General Practice 497 WEST LOTT
BUFFALO, Wyoming (WY)
307-684-6188