SAMUEL V DAVENPORT CRNA
NPI 1083616056
Nurse Anesthetist, Certified Registered in Johnson City,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 10, 2005

Contact Information

400 N State Of Franklin Rd
Johnson City,
Post Code: 37604
Phone: (423) 431-6111
Fax: -

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Samuel V Davenport Crna in Johnson City - Nurse Anesthetist, Certified Registered

Samuel V Davenport Crna is a Nurse Anesthetist, Certified Registered in Johnson City, . Samuel V Davenport Crna practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Samuel V Davenport Crna is 1083616056. The last update date is 2019-04-24.

Samuel V Davenport Crna's current location address is 400 N State Of Franklin Rd, Johnson City, . You can contact this provider via phone number (423) 431-6111 and fax number -. The mailing address for Samuel V Davenport Crna is 400 N State Of Franklin Rd, Johnson City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083616056
Provider Name
SAMUEL V DAVENPORT CRNA
Gender
Male
Entity Type
Individual
Location Address
400 N State Of Franklin Rd, Johnson City,
Location Phone
(423) 431-6111
Location Fax
-
Mailing Address
1009 Lark St Ste 2, Johnson City, Tennessee(TN)
Mailing Phone
423-283-0776
Mailing Fax
423-283-0549
Enumeration Date
2005-08-10
Last Update Date
2019-04-24
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 Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
-
License No.
RN0000104846
License State
Tennessee (TN)
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
3631202 MEDICAID (05) Tennessee (TN)

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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.
1083616056
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016312112010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2016312112010
2 + 0 + 1 + 6 + 3 + 1 + 2 + 1 + 1 + 2 + 0 + 1 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 6 6

The NPI number 1083616056 is valid because the calculated check digit 6 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
1003819046 BARBARA H NYLANDER
Individual
Obstetrics & Gynecology, Gynecology 3024 BUSINESS PARK CIR
GOODLETTSVILLE, Tennessee (TN)
615-851-6033
1073516001 DAVID L ROSS
Individual
Internal Medicine 127 CRESTVIEW PARK DR
DICKSON, Tennessee (TN)
615-446-5121
1053314104 RAMON T UNGAB
Individual
Internal Medicine 2851 STAGE CENTER DR
BARTLETT, Tennessee (TN)
901-388-7711
1033112180 STEVEN P TIPPS
Individual
Oral & Maxillofacial Surgery 6015 SHALLOWFORD ROAD
CHATTANOOGA, Tennessee (TN)
423-893-3333
1053314096 SAMUEL E MURRELL
Individual
Orthopaedic Surgery 6286 BRIARCREST AVE
MEMPHIS, Tennessee (TN)
901-641-3000