MARK K THALACKER CNP
NPI 1063483493
Nurse Practitioner in Woodbury,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

1875 Woodwinds Dr
Woodbury,
Post Code: 55125
Phone: (651) 232-0500
Fax: -

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Mark K Thalacker Cnp in Woodbury - Nurse Practitioner

Mark K Thalacker Cnp is a Nurse Practitioner in Woodbury, . Mark K Thalacker Cnp practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mark K Thalacker Cnp is 1063483493. The last update date is 2024-02-26.

Mark K Thalacker Cnp's current location address is 1875 Woodwinds Dr, Woodbury, . You can contact this provider via phone number (651) 232-0500 and fax number -. The mailing address for Mark K Thalacker Cnp is 1875 Woodwinds Dr, Woodbury, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1063483493
Provider Name
MARK K THALACKER CNP
Gender
Male
Entity Type
Individual
Location Address
1875 Woodwinds Dr, Woodbury,
Location Phone
(651) 232-0500
Location Fax
-
Mailing Address
1875 Woodwinds Dr, Woodbury, Minnesota(MN)
Mailing Phone
651-232-0500
Mailing Fax
-
Enumeration Date
2006-02-01
Last Update Date
2024-02-26
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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
-
License No.
R096321-5
License State
Minnesota (MN)
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
815725100 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.
1063483493
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123886418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20123886418
2 + 0 + 1 + 2 + 3 + 8 + 8 + 6 + 4 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1063483493 is valid because the calculated check digit 3 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
1063483436 FARRIS K TIMIMI
Individual
Internal Medicine, Cardiovascular Disease 200 1ST ST SW
ROCHESTER, Minnesota (MN)
507-284-2511
1063483303 NICHOLAS F LARUSSO
Individual
Internal Medicine, Gastroenterology 200 1ST ST SW
ROCHESTER, Minnesota (MN)
507-284-2511
1063482941 LISA BRATSCH-MONTAG
Individual
Nurse Practitioner, Women's Health 1517 SQUIRRELS NEST RD
KASOTA, Minnesota (MN)
507-243-4193
1063482933 BETH K BENNINGTON
Individual
Nurse Practitioner, Women's Health 626 POND VIEW DR
MENDOTA HEIGHTS, Minnesota (MN)
651-415-9563
1063482875 JEANETTE L DOHNANSKY-FRANK
Individual
Nurse Practitioner, Women's Health 1000 E 1ST ST
DULUTH, Minnesota (MN)
218-249-4700