TINA FAITH DERR PA-C
NPI 1093797961
Physician Assistant in Dayton,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 16, 2005

Contact Information

1012 South Third Street
Dayton,
Post Code: 99328
Phone: (509) 382-2531
Fax: (509) 382-9359

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Tina Faith Derr Pa-c in Dayton - Physician Assistant

Tina Faith Derr Pa-c is a Physician Assistant in Dayton, . Tina Faith Derr Pa-c practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tina Faith Derr Pa-c is 1093797961. The last update date is 2023-03-07.

Tina Faith Derr Pa-c's current location address is 1012 South Third Street, Dayton, . You can contact this provider via phone number (509) 382-2531 and fax number (509) 382-9359. The mailing address for Tina Faith Derr Pa-c is 1012 South Third Street, Dayton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1093797961
Provider Name
TINA FAITH DERR PA-C
Gender
Female
Entity Type
Individual
Location Address
1012 South Third Street, Dayton,
Location Phone
(509) 382-2531
Location Fax
(509) 382-9359
Mailing Address
1012 South Third Street, Dayton, Washington(WA)
Mailing Phone
509-382-3200
Mailing Fax
509-382-2748
Enumeration Date
2005-11-16
Last Update Date
2023-03-07
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA60426271
License State
Washington (WA)
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 363A00000X Physician Assistant

Physician Assistant

PA2004-0030 (New Mexico)

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
83320253 MEDICAID (05) New Mexico (NM)
PA2004-0030 Other (non-Medicare) (01) New Mexico (NM) PA license

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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.
1093797961
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018314914912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2018314914912
2 + 0 + 1 + 8 + 3 + 1 + 4 + 9 + 1 + 4 + 9 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1093797961 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
1093797581 ETTORE GIOVANNI PALAZZO
Individual
Internal Medicine 12040 NE 128TH ST
KIRKLAND, Washington (WA)
425-899-2560
1093797250 KRISTIN MARIE GROESSL
Individual
Physician Assistant 4409 NW ANDERSON HILL RD
SILVERDALE, Washington (WA)
360-698-6630
1093796849 SUN K RUBIN
Individual
Occupational Therapist, Hand 600 BROADWAY
SEATTLE, Washington (WA)
206-292-6252
1093796823 EYE AND EAR CLINIC OF WENATCHEE INC PS
Organization
Technician/Technologist, Optician PO BOX 3027
WENATCHEE, Washington (WA)
509-662-7143
1093795536 EDWYNNA HALE MILLER
Individual
Dentist, Oral and Maxillofacial Pathology BLDG 9900, 2ND FLOOR
TACOMA, Washington (WA)
253-968-4039