GARY W MANLY CRNA
NPI 1023013000
Nurse Anesthetist, Certified Registered in Pine Bluff,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 16, 2005

Contact Information

1801 W 40th Ave
Pine Bluff,
Post Code: 71603
Phone: (870) 535-7457
Fax: (870) 535-2522

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Gary W Manly Crna in Pine Bluff - Nurse Anesthetist, Certified Registered

Gary W Manly Crna is a Nurse Anesthetist, Certified Registered in Pine Bluff, . Gary W Manly Crna practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Gary W Manly Crna is 1023013000. The last update date is 2008-06-24.

Gary W Manly Crna's current location address is 1801 W 40th Ave, Pine Bluff, . You can contact this provider via phone number (870) 535-7457 and fax number (870) 535-2522. The mailing address for Gary W Manly Crna is 1801 W 40th Ave, Pine Bluff, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023013000
Provider Name
GARY W MANLY CRNA
Gender
Male
Entity Type
Individual
Location Address
1801 W 40th Ave, Pine Bluff,
Location Phone
(870) 535-7457
Location Fax
(870) 535-2522
Mailing Address
Po Box 1272, Pine Bluff, Arkansas(AR)
Mailing Phone
870-535-7457
Mailing Fax
870-535-2522
Enumeration Date
2005-06-16
Last Update Date
2008-06-24
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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
-
License No.
CRNA416
License State
Arkansas (AR)
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
125082701 MEDICAID (05) Arkansas (AR)
430014160 Other (non-Medicare) (01) () RRMCR/PGBA
59625 Other (non-Medicare) (01) Arkansas (AR) BCBS
AR6003789 Other (non-Medicare) (01) () Tricare/Humana

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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.
1023013000
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204301600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 204301600
2 + 0 + 4 + 3 + 0 + 1 + 6 + 0 + 0 + 24 = 40
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1023013000 is valid because the calculated check digit 0 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
1023011194 STEPHEN C. DOBRATZ
Individual
Internal Medicine, Cardiovascular Disease 2205 W MAIN ST
RUSSELLVILLE, Arkansas (AR)
479-968-2345
1003819996 AARON L. JANOS
Individual
Radiology, Diagnostic Radiology 500 SOUTH UNIVERSITY AVENUE
LITTLE ROCK, Arkansas (AR)
501-664-3914
1013912765 DOUGLAS A BALTZ
Individual
Pharmacist 642 W STRAWN AVE
JONESBORO, Arkansas (AR)
870-935-0294
1003812462 STEPHEN CASHMAN
Individual
Specialist 2100 N GREEN ACRES RD
FAYETTEVILLE, Arkansas (AR)
479-521-0455
1003813890 BILLY D GAMMEL
Individual
Pharmacist PO BOX 677
CROSSETT, Arkansas (AR)
870-364-5100