E. DWAIN ROBERTS M.D.
NPI 1013997782
Radiology, Nuclear Radiology in Jefferson City,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 19, 2006

Contact Information

1241 W Stadium Blvd
Jefferson City,
Post Code: 65109
Phone: (573) 556-7755
Fax: (573) 761-3599

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E. Dwain Roberts M.d. in Jefferson City - Radiology, Nuclear Radiology

E. Dwain Roberts M.d. is a Radiology, Nuclear Radiology in Jefferson City, . E. Dwain Roberts M.d. practices all healthcare services and medical treatments related to Radiology, Nuclear Radiology. The NPI Number for E. Dwain Roberts M.d. is 1013997782. The last update date is 2023-08-10.

E. Dwain Roberts M.d.'s current location address is 1241 W Stadium Blvd, Jefferson City, . You can contact this provider via phone number (573) 556-7755 and fax number (573) 761-3599. The mailing address for E. Dwain Roberts M.d. is 1241 W Stadium Blvd, Jefferson City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013997782
Provider Name
E. DWAIN ROBERTS M.D.
Gender
Male
Entity Type
Individual
Location Address
1241 W Stadium Blvd, Jefferson City,
Location Phone
(573) 556-7755
Location Fax
(573) 761-3599
Mailing Address
Po Box 104240, Jefferson City, Missouri(MO)
Mailing Phone
573-556-7755
Mailing Fax
573-761-3599
Enumeration Date
2006-01-19
Last Update Date
2023-08-10
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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
114884
License State
Missouri (MO)
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 2085N0904X Nuclear Radiology Physician

Radiology, Nuclear Radiology

114884 (Missouri)
2 2085U0001X Diagnostic Ultrasound Physician

Radiology, Diagnostic Ultrasound

114884 (Missouri)

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
209786607 MEDICAID (05) Missouri (MO)
300090314 Other (non-Medicare) (01) Missouri (MO) Railroad Medicare
CC7852 Other (non-Medicare) (01) Missouri (MO) RR Group
DB1586 Other (non-Medicare) (01) Missouri (MO) Group RR
P00201659 Other (non-Medicare) (01) Missouri (MO) ind. RR

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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.
1013997782
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202318914716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 202318914716
2 + 0 + 2 + 3 + 1 + 8 + 9 + 1 + 4 + 7 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1013997782 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
1013997493 LINDA S JABBARI
Individual
Family Medicine 1930 N BUSINESS ROUTE 5
CAMDENTON, Missouri (MO)
573-346-5624
1013997436 JAMES J. WEISS
Individual
Family Medicine PO BOX 104240
JEFFERSON CITY, Missouri (MO)
573-635-5264
1013997337 MICHAEL G. STEENBERGEN
Individual
Family Medicine PO BOX 104240
JEFFERSON CITY, Missouri (MO)
573-635-5264
1013996818 DAWN WILSON
Individual
Physical Therapist 8816 MANCHESTER RD
BRENTWOOD, Missouri (MO)
618-256-7962
1013996313 MONICA L HENTE
Individual
Nurse Practitioner, Pediatrics 1 CHILDRENS PL
SAINT LOUIS, Missouri (MO)
314-454-6018