WALLACE LLERA M.D.
NPI 1013990332
Family Medicine, Adult Medicine in Philadelphia,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 21, 2005

Contact Information

1412 Fairmount Ave
Philadelphia,
Post Code: 19130
Phone: (215) 599-4851
Fax: (215) 232-4093

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Wallace Llera M.d. in Philadelphia - Family Medicine, Adult Medicine

Wallace Llera M.d. is a Family Medicine, Adult Medicine in Philadelphia, . Wallace Llera M.d. practices all healthcare services and medical treatments related to Family Medicine, Adult Medicine. The NPI Number for Wallace Llera M.d. is 1013990332. The last update date is 2011-06-07.

Wallace Llera M.d.'s current location address is 1412 Fairmount Ave, Philadelphia, . You can contact this provider via phone number (215) 599-4851 and fax number (215) 232-4093. The mailing address for Wallace Llera M.d. is 1412 Fairmount Ave, Philadelphia, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013990332
Provider Name
WALLACE LLERA M.D.
Gender
Male
Entity Type
Individual
Location Address
1412 Fairmount Ave, Philadelphia,
Location Phone
(215) 599-4851
Location Fax
(215) 232-4093
Mailing Address
401-55 W Allegheny Ave, Philadelphia, Pennsylvania(PA)
Mailing Phone
215-291-2500
Mailing Fax
215-291-2587
Enumeration Date
2005-11-21
Last Update Date
2011-06-07
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, Adult Medicine

Taxonomy Code
207QA0505X
Type
-
License No.
MD038236L
License State
Pennsylvania (PA)
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
001019428 - 0022 MEDICAID (05) Pennsylvania (PA)

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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.
1013990332
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023189036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2023189036
2 + 0 + 2 + 3 + 1 + 8 + 9 + 0 + 3 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1013990332 is valid because the calculated check digit 2 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
1013990282 EDWARD S BECK
Individual
Counselor, Professional 2215 FOREST HILLS DR
HARRISBURG, Pennsylvania (PA)
717-540-5353
1013990167 VINCENT CAPOSTAGNO
Individual
Radiology, Radiation Oncology 2234 COLONIAL BLVD
FORT MYERS, Florida (FL)
239-931-7342
1013989821 KAREN ANN JOHNSON
Individual
Counselor, Professional 3659 JULIE CT
ERIE, Pennsylvania (PA)
814-882-4845
1013989730 PAMELA A CRAWFORD
Individual
Otolaryngology 1029 LIBERTY ST
FRANKLIN, Pennsylvania (PA)
814-437-7266
1013989581 NENAD B JANICIJEVIC
Individual
Emergency Medicine 1691 WASHINGTON RD
MT LEBANON, Pennsylvania (PA)
412-835-6900