UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN
NPI 1063400778
General Practice in Tyler,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 7, 2005

Contact Information

11937 Us Highway 271
Tyler,
Post Code: 75708
Phone: (903) 877-3451
Fax: -

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University Of Texas Health Science Center At Tyler-facility-physician in Tyler - General Practice

University Of Texas Health Science Center At Tyler-facility-physician is a General Practice in Tyler, . University Of Texas Health Science Center At Tyler-facility-physician practices all healthcare services and medical treatments related to General Practice. The NPI Number for University Of Texas Health Science Center At Tyler-facility-physician is 1063400778. The last update date is 2019-06-27.

University Of Texas Health Science Center At Tyler-facility-physician's current location address is 11937 Us Highway 271, Tyler, . You can contact this provider via phone number (903) 877-3451 and fax number -. The mailing address for University Of Texas Health Science Center At Tyler-facility-physician is 11937 Us Highway 271, Tyler, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1063400778
Provider Legal Name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN
Other Organization Name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN
Other Name Type
-
Entity Type
Organization
Location Address
11937 Us Highway 271, Tyler,
Location Phone
(903) 877-3451
Location Fax
-
Mailing Address
Po Box 731912, Dallas, Texas(TX)
Mailing Phone
903-877-7777
Mailing Fax
-
Enumeration Date
2005-10-07
Last Update Date
2019-06-27
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

Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Code
204C00000X
Type
-
License No.
-
License State
-
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 208D00000X General Practice Physician

General Practice

()

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
127278302 MEDICAID (05) Texas (TX)

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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.
1063400778
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123800714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20123800714
2 + 0 + 1 + 2 + 3 + 8 + 0 + 0 + 7 + 1 + 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 1063400778 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
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
HOUSTON, Texas (TX)
713-781-3517
1023011210 MAUREEN STANEK POLAKOWSKI
Individual
Nurse Practitioner 4835 LBJ FWY STE 900
DALLAS, Texas (TX)
844-941-3087
1013910272 RICHARD KENNETH HURLEY
Individual
Anesthesiology, Pain Medicine 1507 W MAIN ST
GATESVILLE, Texas (TX)
254-865-2166
1043213259 ROBERT P. WILLS
Individual
Anesthesiology 2000 S MAYS ST STE 201
ROUND ROCK, Texas (TX)
512-244-4272
1003819285 ROBERT ALAN RICE
Individual
Ophthalmology 1 HAVEN FOR HOPE WAY
SAN ANTONIO, Texas (TX)
102-220-2368