LYNN LEROY JURACEK MD
NPI 1083608699
Dermatology in Surprise,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 9, 2005

Contact Information

14239 W Bell Rd
Surprise,
Post Code: 85374
Phone: (623) 544-7755
Fax: (623) 544-8665

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Lynn Leroy Juracek Md in Surprise - Dermatology

Lynn Leroy Juracek Md is a Dermatology in Surprise, . Lynn Leroy Juracek Md practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lynn Leroy Juracek Md is 1083608699. The last update date is 2013-05-15.

Lynn Leroy Juracek Md's current location address is 14239 W Bell Rd, Surprise, . You can contact this provider via phone number (623) 544-7755 and fax number (623) 544-8665. The mailing address for Lynn Leroy Juracek Md is 14239 W Bell Rd, Surprise, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083608699
Provider Name
LYNN LEROY JURACEK MD
Gender
Male
Entity Type
Individual
Location Address
14239 W Bell Rd, Surprise,
Location Phone
(623) 544-7755
Location Fax
(623) 544-8665
Mailing Address
14239 W Bell Rd, Surprise, Arizona(AZ)
Mailing Phone
623-544-7755
Mailing Fax
623-544-8665
Enumeration Date
2005-09-09
Last Update Date
2013-05-15
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

Dermatology, MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
-
License No.
30022
License State
Arizona (AZ)
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 207N00000X Dermatology Physician

Dermatology

30022 (Arizona)
2 207NI0002X Clinical & Laboratory Dermatological Immunology Physician

Dermatology, Clinical & Laboratory Dermatological Immunology

30022 (Arizona)
3 207NS0135X Procedural Dermatology Physician

Dermatology, Procedural Dermatology

30022 (Arizona)
4 207ND0900X Dermatopathology Physician

Dermatology, Dermatopathology

30022 (Arizona)
5 207NP0225X Pediatric Dermatology Physician

Dermatology, Pediatric Dermatology

30022 (Arizona)

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

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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.
1083608699
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016312016618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2016312016618
2 + 0 + 1 + 6 + 3 + 1 + 2 + 0 + 1 + 6 + 6 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1083608699 is valid because the calculated check digit 9 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
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1053314138 ERIC S PERCY-FINE
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1033112818 SUNGCHUN LEE
Individual
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602-759-6883
1023011806 GREGG FRIEDMAN
Individual
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480-947-8381