KENTUCKY LAKE SURGERY CENTER LLC
NPI 1033102397
Clinic/center, Ambulatory Surgical in Paris,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 23, 2005

Contact Information

1002 Cornerstone Dr
Paris,
Post Code: 38242
Phone: (731) 644-2150
Fax: (731) 644-0474

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Kentucky Lake Surgery Center Llc in Paris - Clinic/Center, Ambulatory Surgical

Kentucky Lake Surgery Center Llc is a Clinic/Center, Ambulatory Surgical in Paris, . Kentucky Lake Surgery Center Llc practices all healthcare services and medical treatments related to Clinic/Center, Ambulatory Surgical. The NPI Number for Kentucky Lake Surgery Center Llc is 1033102397. The last update date is 2011-01-28.

Kentucky Lake Surgery Center Llc's current location address is 1002 Cornerstone Dr, Paris, . You can contact this provider via phone number (731) 644-2150 and fax number (731) 644-0474. The mailing address for Kentucky Lake Surgery Center Llc is 1002 Cornerstone Dr, Paris, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1033102397
Provider Legal Name
KENTUCKY LAKE SURGERY CENTER LLC
Other Organization Name
KENTUCKY LAKE SURGERY CENTER LLC
Other Name Type
-
Entity Type
Organization
Location Address
1002 Cornerstone Dr, Paris,
Location Phone
(731) 644-2150
Location Fax
(731) 644-0474
Mailing Address
1002 Cornerstone Dr, Paris, Tennessee(TN)
Mailing Phone
731-644-2150
Mailing Fax
731-644-0474
Enumeration Date
2005-08-23
Last Update Date
2011-01-28
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

Clinic/Center, Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
-
License No.
0000000118
License State
Tennessee (TN)
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
3144925 Other (non-Medicare) (01) Tennessee (TN) Blue Cross Provider Numbe
3288139 MEDICAID (05) Tennessee (TN)
490004547 Other (non-Medicare) (01) Tennessee (TN) Palmeto GBA Provider Numb

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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.
1033102397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063204318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2063204318
2 + 0 + 6 + 3 + 2 + 0 + 4 + 3 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1033102397 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
1033102355 EDWIN RAY LOWERY
Individual
Orthopaedic Surgery PO BOX 440231
NASHVILLE, Tennessee (TN)
615-896-6800
1033102066 ANNA MARIA DURHAM
Individual
Pediatrics 1129 HALE RD
MEMPHIS, Tennessee (TN)
901-396-0390
1033101126 KENNETH WAYNE SMITH
Individual
Neurological Surgery 2 SHERIDAN SQ
KINGSPORT, Tennessee (TN)
423-246-8061
1033100763 LARRY J PHARRIS
Individual
Internal Medicine 1622 WESTGATE CIR
BRENTWOOD, Tennessee (TN)
629-255-2087
1033100730 DOUGLAS P MITCHELL
Individual
Internal Medicine, Gastroenterology 222 22ND AVE N
NASHVILLE, Tennessee (TN)
615-324-2156