MYLES DAVID KEROACK MD
NPI 1013998582
Internal Medicine in Marshfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 10, 2005

Contact Information

1000 N Oak Ave
Marshfield,
Post Code: 54449
Phone: (715) 387-5511
Fax: -

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Myles David Keroack Md in Marshfield - Internal Medicine

Myles David Keroack Md is a Internal Medicine in Marshfield, . Myles David Keroack Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Myles David Keroack Md is 1013998582. The last update date is 2011-07-06.

Myles David Keroack Md's current location address is 1000 N Oak Ave, Marshfield, . You can contact this provider via phone number (715) 387-5511 and fax number -. The mailing address for Myles David Keroack Md is 1000 N Oak Ave, Marshfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013998582
Provider Name
MYLES DAVID KEROACK MD
Gender
Male
Entity Type
Individual
Location Address
1000 N Oak Ave, Marshfield,
Location Phone
(715) 387-5511
Location Fax
-
Mailing Address
2116 Craig Rd, Eau Claire, Wisconsin(WI)
Mailing Phone
715-858-4500
Mailing Fax
-
Enumeration Date
2005-11-10
Last Update Date
2011-07-06
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

Internal Medicine, Gastroenterology

Taxonomy Code
207RG0100X
Type
-
License No.
55795
License State
Wisconsin (WI)
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 207R00000X Internal Medicine Physician

Internal Medicine

72672 (Massachusetts)
2 207RG0100X Gastroenterology Physician

Internal Medicine, Gastroenterology

72672 (Massachusetts)

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
072672 Other (non-Medicare) (01) Massachusetts (MA) Tufts Health Plan
3088898 MEDICAID (05) Massachusetts (MA)
J10606 Other (non-Medicare) (01) Massachusetts (MA) BCBS MA

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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.
1013998582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202318916516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 202318916516
2 + 0 + 2 + 3 + 1 + 8 + 9 + 1 + 6 + 5 + 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 1013998582 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
1013910785 WILLIAM J DIERBERG
Individual
Plastic Surgery 2605 DEVELOPMENT DR
GREEN BAY, Wisconsin (WI)
920-288-8240
1013910645 ROLF F. POSER
Individual
Internal Medicine, Cardiovascular Disease 635 PARK AVE.
COLUMBUS, Wisconsin (WI)
920-623-5000
1003819616 TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY
HEARTLAND COUNTRY VILLAGE
Organization
Skilled Nursing Facility 634 CENTER ST
BLACK EARTH, Wisconsin (WI)
608-767-2572
1003819475 FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
FROEDTERT BLUEMOUND REHABILITATION HOSPITAL
Organization
Rehabilitation Unit 10000 W BLUEMOUND RD
WAUWATOSA, Wisconsin (WI)
414-454-8000
1003819491 COUNTY OF PORTAGE
PORTAGE COUNTY HEALTH CARE CENTER
Organization
Skilled Nursing Facility 825 WHITING AVE
STEVENS POINT, Wisconsin (WI)
715-346-1375