NEFRETITI MER-EN-RA GARRISON-NORTH MD
NPI 1023019015
Pediatrics in Cape Girardeau,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 2, 2005

Contact Information

211 Saint Francis Dr
Cape Girardeau,
Post Code: 63703
Phone: (573) 331-5770
Fax: (573) 331-3974

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Nefretiti Mer-en-ra Garrison-north Md in Cape Girardeau - Pediatrics

Nefretiti Mer-en-ra Garrison-north Md is a Pediatrics in Cape Girardeau, . Nefretiti Mer-en-ra Garrison-north Md practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nefretiti Mer-en-ra Garrison-north Md is 1023019015. The last update date is 2021-02-23.

Nefretiti Mer-en-ra Garrison-north Md's current location address is 211 Saint Francis Dr, Cape Girardeau, . You can contact this provider via phone number (573) 331-5770 and fax number (573) 331-3974. The mailing address for Nefretiti Mer-en-ra Garrison-north Md is 211 Saint Francis Dr, Cape Girardeau, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023019015
Provider Name
NEFRETITI MER-EN-RA GARRISON-NORTH MD
Gender
Female
Entity Type
Individual
Location Address
211 Saint Francis Dr, Cape Girardeau,
Location Phone
(573) 331-5770
Location Fax
(573) 331-3974
Mailing Address
Po Box 801143, Kansas City, Missouri(MO)
Mailing Phone
573-331-5583
Mailing Fax
573-331-5079
Enumeration Date
2005-08-02
Last Update Date
2021-02-23
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

Taxonomy Code
207R00000X
Type
-
License No.
2011012785
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 208000000X Pediatrics Physician

Pediatrics

2011012785 (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
1023019015 Other (non-Medicare) (01) Missouri (MO) Triwest
1042943 MEDICAID (05) Louisiana (LA)
P00314514 Other (non-Medicare) (01) Louisiana (LA) RAILROAD MEDICARE PIN

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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.
1023019015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043011802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043011802
2 + 0 + 4 + 3 + 0 + 1 + 1 + 8 + 0 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5 5

The NPI number 1023019015 is valid because the calculated check digit 5 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
1023018926 JEENA VIJI EAPEN
Individual
Internal Medicine 12101 WOODCREST EXECUTIVE DR STE 210
SAINT LOUIS, Missouri (MO)
314-317-0600
1023017985 BEST BUY HOMECARE OF LOUISIANA, INC
BEST BUY HOMECARE
Organization
Durable Medical Equipment & Medical Supplies 112 STEAMBOAT BEND SHOPPING CTR
HANNIBAL, Missouri (MO)
573-221-5732
1023017837 MIDWEST SURGICAL TECHNOLOGIES, LLC
Organization
Durable Medical Equipment & Medical Supplies, Customized Equipment 12166 OLD BIG BEND RD
SAINT LOUIS, Missouri (MO)
314-835-1549
1023017753 MONICA GRADY
Individual
Psychologist 5000 CEDAR PLAZA PARKWAY
SAINT LOUIS, Missouri (MO)
314-843-4333
1023017746 SA HOSPITAL ACQUISITION GROUP, LLC
SOUTH CITY HOSPITAL
Organization
Psychiatric Unit 3933 SOUTH BROADWAY STREET
ST LOUIS, Missouri (MO)
314-865-7902