SALLY A. BOMAR M.D.
NPI 1043212228
Family Medicine in Maryville,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

114 East South Hills Dr.
Maryville,
Post Code: 64468
Phone: (660) 562-2525
Fax: (660) 562-7993

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Sally A. Bomar M.d. in Maryville - Family Medicine

Sally A. Bomar M.d. is a Family Medicine in Maryville, . Sally A. Bomar M.d. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sally A. Bomar M.d. is 1043212228. The last update date is 2012-11-09.

Sally A. Bomar M.d.'s current location address is 114 East South Hills Dr., Maryville, . You can contact this provider via phone number (660) 562-2525 and fax number (660) 562-7993. The mailing address for Sally A. Bomar M.d. is 114 East South Hills Dr., Maryville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1043212228
Provider Name
SALLY A. BOMAR M.D.
Gender
Female
Entity Type
Individual
Location Address
114 East South Hills Dr., Maryville,
Location Phone
(660) 562-2525
Location Fax
(660) 562-7993
Mailing Address
2016 S Main St, Maryville, Missouri(MO)
Mailing Phone
660-562-2525
Mailing Fax
660-562-4303
Enumeration Date
2005-06-01
Last Update Date
2012-11-09
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
105981
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 207Q00000X Family Medicine Physician

Family Medicine

31578 (Iowa)

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
0984591 MEDICAID (05) Iowa (IA)
208078311 MEDICAID (05) Missouri (MO)

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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.
1043212228
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208341424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 208341424
2 + 0 + 8 + 3 + 4 + 1 + 4 + 2 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1043212228 is valid because the calculated check digit 8 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
1003819137 SUSAN MARIE MOU
Individual
Obstetrics & Gynecology 2310 HOLMES ST
KANSAS CITY, Missouri (MO)
816-218-2500
1003819947 MARK J MALLEY
Individual
Radiology, Diagnostic Radiology 630 NW ENGLEWOOD RD
KANSAS CITY, Missouri (MO)
816-453-2700
1023011343 MICHAEL DAVE MCVICKER
Individual
Nurse Practitioner, Family HC 67 BOX 76
MOUNTAIN VIEW, Missouri (MO)
417-934-5055
1023010311 BLUE RIDGE SURGICAL CENTER, LLC
Organization
Clinic/Center, Ambulatory Surgical 4240 BLUE RIDGE BLVD
KANSAS CITY, Missouri (MO)
816-358-9990
1003818345 LISA MARIE HERMES
Individual
Physical Medicine & Rehabilitation 4401 WORNALL RD
KANSAS CITY, Missouri (MO)
816-932-2020