BREAN RAE EWART ELLSWORTH B.A.
NPI 1053395541
Case Manager/care Coordinator in Fredericktown,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 30, 2005

Contact Information

1070 Old National Pike
Fredericktown,
Post Code: 15333
Phone: (724) 632-6801
Fax: -

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Brean Rae Ewart Ellsworth B.a. in Fredericktown - Case Manager/Care Coordinator

Brean Rae Ewart Ellsworth B.a. is a Case Manager/Care Coordinator in Fredericktown, . Brean Rae Ewart Ellsworth B.a. practices all healthcare services and medical treatments related to Case Manager/Care Coordinator. The NPI Number for Brean Rae Ewart Ellsworth B.a. is 1053395541. The last update date is 2008-04-17.

Brean Rae Ewart Ellsworth B.a.'s current location address is 1070 Old National Pike, Fredericktown, . You can contact this provider via phone number (724) 632-6801 and fax number -. The mailing address for Brean Rae Ewart Ellsworth B.a. is 1070 Old National Pike, Fredericktown, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053395541
Provider Name
BREAN RAE EWART ELLSWORTH B.A.
Gender
Female
Entity Type
Individual
Location Address
1070 Old National Pike, Fredericktown,
Location Phone
(724) 632-6801
Location Fax
-
Mailing Address
1152 Wood St, California, Pennsylvania(PA)
Mailing Phone
724-938-2099
Mailing Fax
724-938-3221
Enumeration Date
2005-11-30
Last Update Date
2008-04-17
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

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
-
License No.
-
License State
-
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
1007288440098 MEDICAID (05) Pennsylvania (PA)
328834D024298 Other (non-Medicare) (01) Pennsylvania (PA) VALUE BEHAVIORAL HEALTH

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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.
1053395541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103691058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20103691058
2 + 0 + 1 + 0 + 3 + 6 + 9 + 1 + 0 + 5 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1053395541 is valid because the calculated check digit 1 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
1053395509 TAMI G ADAMS
Individual
Social Worker, Clinical 1 NORTHGATE SQ
GREENSBURG, Pennsylvania (PA)
724-832-0947
1053394882 LORI L DADO
Individual
Registered Nurse 411 JENNY LN
NEW CASTLE, Pennsylvania (PA)
724-944-6477
1053394676 SOPHIA SUNG HOM
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) 4401 PENN AVENUE
PGH, Pennsylvania (PA)
412-692-7626
1053394122 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
MERCY HEALTH SYSTEM MTS
Organization
Ambulance, Land Transport PO BOX 827176
PHILADELPHIA, Pennsylvania (PA)
717-464-0724
1053394098 UZMA SHARIF
Individual
Psychiatry & Neurology, Neurology 200 BOWMAN DR
VOORHEES, New Jersey (NJ)
267-425-5400