MARISA GROSS CCC-LSP
NPI 1104800119
Rehabilitation Practitioner in Dickson City,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 2, 2005

Contact Information

851 Commerce Blvd
Dickson City,
Post Code: 18519
Phone: (570) 489-5561
Fax: (570) 489-5563

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Marisa Gross Ccc-lsp in Dickson City - Rehabilitation Practitioner

Marisa Gross Ccc-lsp is a Rehabilitation Practitioner in Dickson City, . Marisa Gross Ccc-lsp practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Marisa Gross Ccc-lsp is 1104800119. The last update date is 2007-07-08.

Marisa Gross Ccc-lsp's current location address is 851 Commerce Blvd, Dickson City, . You can contact this provider via phone number (570) 489-5561 and fax number (570) 489-5563. The mailing address for Marisa Gross Ccc-lsp is 851 Commerce Blvd, Dickson City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104800119
Provider Name
MARISA GROSS CCC-LSP
Gender
Female
Entity Type
Individual
Location Address
851 Commerce Blvd, Dickson City,
Location Phone
(570) 489-5561
Location Fax
(570) 489-5563
Mailing Address
851 Commerce Blvd, Dickson City, Pennsylvania(PA)
Mailing Phone
570-489-5561
Mailing Fax
570-489-5563
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
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.

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 225400000X Rehabilitation Practitioner

Rehabilitation Practitioner

SL005969 L (Pennsylvania)
2 235Z00000X Speech-Language Pathologist

Speech-Language Pathologist,

SL005969 L (Pennsylvania)

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
0018620480005 MEDICAID (05) Pennsylvania (PA)
1353701 Other (non-Medicare) (01) Pennsylvania (PA) Highmark
163624 Other (non-Medicare) (01) Pennsylvania (PA) MedPLUS
2787821 Other (non-Medicare) (01) Pennsylvania (PA) Aetna HMO
7064341 Other (non-Medicare) (01) Pennsylvania (PA) Aetna PPO
819172 Other (non-Medicare) (01) Pennsylvania (PA) First Priority/BC/BS
9222541 Other (non-Medicare) (01) Pennsylvania (PA) PHCS

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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.
1104800119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104160012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2104160012
2 + 1 + 0 + 4 + 1 + 6 + 0 + 0 + 1 + 2 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 9 9

The NPI number 1104800119 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
1093718017 CHRISTOPHER JOSEPH LYONS
Individual
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 479 THOMAS JONES WAY
EXTON, Pennsylvania (PA)
610-280-9999
1043213226 ROBERT DAVID ARONOFF
Individual
Internal Medicine, Cardiovascular Disease PO BOX 858
HERSHEY, Pennsylvania (PA)
800-243-1455
1033112214 MARK KOENIG
Individual
Pediatrics 604 EPSILON DR
PITTSBURGH, Pennsylvania (PA)
412-967-9090
1023011293 FEREYDOON ADIBI
Individual
Obstetrics & Gynecology PO BOX 1111
HARLEYSVILLE, Pennsylvania (PA)
215-453-4995
1093718124 JOSEPH C BARBER
Individual
Pediatrics 232 W 25TH ST
ERIE, Pennsylvania (PA)
814-452-5216