EXCEL ANESTHESIA PSC
NPI 1104828086
Anesthesiology in Beaver Dam,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 11, 2005

Contact Information

1020 N Main St
Beaver Dam,
Post Code: 42320
Phone: (270) 274-0480
Fax: (270) 274-0482

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Excel Anesthesia Psc in Beaver Dam - Anesthesiology

Excel Anesthesia Psc is a Anesthesiology in Beaver Dam, . Excel Anesthesia Psc practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Excel Anesthesia Psc is 1104828086. The last update date is 2016-07-21.

Excel Anesthesia Psc's current location address is 1020 N Main St, Beaver Dam, . You can contact this provider via phone number (270) 274-0480 and fax number (270) 274-0482. The mailing address for Excel Anesthesia Psc is 1020 N Main St, Beaver Dam, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104828086
Provider Legal Name
EXCEL ANESTHESIA PSC
Other Organization Name
EXCEL ANESTHESIA PSC
Other Name Type
-
Entity Type
Organization
Location Address
1020 N Main St, Beaver Dam,
Location Phone
(270) 274-0480
Location Fax
(270) 274-0482
Mailing Address
1020 N Main St, Beaver Dam, Kentucky(KY)
Mailing Phone
270-274-0480
Mailing Fax
270-274-0482
Enumeration Date
2005-08-11
Last Update Date
2016-07-21
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.
-
License State
-
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 207L00000X Anesthesiology Physician

Anesthesiology

()

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
74904137 MEDICAID (05) Kentucky (KY)

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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.
1104828086
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416216016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416216016
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 6 + 0 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1104828086 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
1063415099 ADRIAN J PELLEGRINI
Individual
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502-899-9980
1073516258 STEVEN J HODGE
Individual
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LOUISVILLE, Kentucky (KY)
502-585-5249
1033112206 JOHN T BURCH
Individual
Orthopaedic Surgery 201 PARK ST
BOWLING GREEN, Kentucky (KY)
270-782-7800
1013911346 BEVERLY PAIGE NEACE
Individual
Physician Assistant 101 TOWN AND COUNTRY LN STE 100
HAZARD, Kentucky (KY)
606-439-1300
1093718116 MITCHELL WICKER JR MD PSC
HAZARD CLINIC
Organization
Internal Medicine PO BOX 719
HAZARD, Kentucky (KY)
606-439-1316