ETHAN CONROY PAC
NPI 1023089547
Physician Assistant, Medical in Saint Paul,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

1516 Holton St
Saint Paul,
Post Code: 55108
Phone: (651) 644-3119
Fax: -

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Ethan Conroy Pac in Saint Paul - Physician Assistant, Medical

Ethan Conroy Pac is a Physician Assistant, Medical in Saint Paul, . Ethan Conroy Pac practices all healthcare services and medical treatments related to Physician Assistant, Medical. The NPI Number for Ethan Conroy Pac is 1023089547. The last update date is 2014-10-30.

Ethan Conroy Pac's current location address is 1516 Holton St, Saint Paul, . You can contact this provider via phone number (651) 644-3119 and fax number -. The mailing address for Ethan Conroy Pac is 1516 Holton St, Saint Paul, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023089547
Provider Name
ETHAN CONROY PAC
Gender
Male
Entity Type
Individual
Location Address
1516 Holton St, Saint Paul,
Location Phone
(651) 644-3119
Location Fax
-
Mailing Address
17 Exchange St W, Saint Paul, Minnesota(MN)
Mailing Phone
651-224-7854
Mailing Fax
-
Enumeration Date
2006-02-01
Last Update Date
2014-10-30
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, Surgical

Taxonomy Code
363AS0400X
Type
-
License No.
9849
License State
Minnesota (MN)
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 363AM0700X Medical Physician Assistant

Physician Assistant, Medical

9849 (Minnesota)

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
923192700 MEDICAID (05) Minnesota (MN)

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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.
1023089547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043081858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043081858
2 + 0 + 4 + 3 + 0 + 8 + 1 + 8 + 5 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1023089547 is valid because the calculated check digit 7 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
1023089430 DALE J MEYER
Individual
Internal Medicine 8450 SEASONS PKWY
WOODBURY, Minnesota (MN)
651-702-5300
1023089414 TODD DONALDSON MILLER
Individual
Internal Medicine, Cardiovascular Disease 200 1ST ST SW
ROCHESTER, Minnesota (MN)
507-284-2511
1023088622 STEVEN D JOHNSON
Individual
Dentist, Oral and Maxillofacial Surgery 1701 CURVE CREST BLVD W
STILLWATER, Minnesota (MN)
651-439-8030
1023088523 DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C.
Organization
Dentist PO BOX 860036
MINNEAPOLIS, Minnesota (MN)
901-763-0850
1023081577 WAYZATA CHILDREN'S CLINIC P.A.
Organization
Pediatrics 14001 RIDGEDALE DR
MINNETONKA, Minnesota (MN)
952-473-0211