SHELLY WARREN DARTY PAC
NPI 1013990712
Physician Assistant, Surgical in High Point,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 28, 2005

Contact Information

607 Idol St
High Point,
Post Code: 27262
Phone: (336) 802-2400
Fax: (336) 802-2001

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Shelly Warren Darty Pac in High Point - Physician Assistant, Surgical

Shelly Warren Darty Pac is a Physician Assistant, Surgical in High Point, . Shelly Warren Darty Pac practices all healthcare services and medical treatments related to Physician Assistant, Surgical. The NPI Number for Shelly Warren Darty Pac is 1013990712. The last update date is 2009-05-18.

Shelly Warren Darty Pac's current location address is 607 Idol St, High Point, . You can contact this provider via phone number (336) 802-2400 and fax number (336) 802-2001. The mailing address for Shelly Warren Darty Pac is 607 Idol St, High Point, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013990712
Provider Name
SHELLY WARREN DARTY PAC
Gender
Female
Entity Type
Individual
Location Address
607 Idol St, High Point,
Location Phone
(336) 802-2400
Location Fax
(336) 802-2001
Mailing Address
861 Old Winston Rd, Kernersville, North Carolina(NC)
Mailing Phone
336-802-2300
Mailing Fax
336-802-2301
Enumeration Date
2005-11-28
Last Update Date
2009-05-18
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
-
License State
-
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 363AS0400X Surgical Physician Assistant

Physician Assistant, Surgical

102585 (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
7057773 Other (non-Medicare) (01) North Carolina (NC) Aetna
D7935 Other (non-Medicare) (01) North Carolina (NC) Medcost

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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.
1013990712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023189072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2023189072
2 + 0 + 2 + 3 + 1 + 8 + 9 + 0 + 7 + 2 + 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 1013990712 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
1013990605 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory PO BOX 2240
BURLINGTON, North Carolina (NC)
800-222-7566
1013990506 ROWENA MARIA SISTASIS
Individual
Family Medicine PO BOX 4247
ASHEBORO, North Carolina (NC)
336-633-1212
1013990324 JULIE ANNE WILLIAMS
Individual
Internal Medicine MEDICAL CENTER BLVD
WINSTON SALEM, North Carolina (NC)
336-713-8153
1013990019 FREDERICK ARTHUR LUPTON
Individual
Dermatology PO BOX 14994
GREENSBORO, North Carolina (NC)
336-271-2777
1013989862 WILLIAM GRANT
Individual
Family Medicine 11200 GOVERNOR MANLY WAY
RALEIGH, North Carolina (NC)
919-747-5270