TRACY ALAINE GODFREY MD
NPI 1104828714
Family Medicine in Webb City,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

6151 N Main Street Rd
Webb City,
Post Code: 64870
Phone: (417) 781-0408
Fax: (417) 556-5377

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Tracy Alaine Godfrey Md in Webb City - Family Medicine

Tracy Alaine Godfrey Md is a Family Medicine in Webb City, . Tracy Alaine Godfrey Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracy Alaine Godfrey Md is 1104828714. The last update date is 2016-03-17.

Tracy Alaine Godfrey Md's current location address is 6151 N Main Street Rd, Webb City, . You can contact this provider via phone number (417) 781-0408 and fax number (417) 556-5377. The mailing address for Tracy Alaine Godfrey Md is 6151 N Main Street Rd, Webb City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104828714
Provider Name
TRACY ALAINE GODFREY MD
Gender
Female
Entity Type
Individual
Location Address
6151 N Main Street Rd, Webb City,
Location Phone
(417) 781-0408
Location Fax
(417) 556-5377
Mailing Address
6151 N Main Street Rd, Webb City, Missouri(MO)
Mailing Phone
417-781-0408
Mailing Fax
417-556-5377
Enumeration Date
2005-08-12
Last Update Date
2016-03-17
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
115438
License State
Missouri (MO)
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
100179800A MEDICAID (05) Oklahoma (OK)
100405220D MEDICAID (05) Kansas (KS)
204685424 MEDICAID (05) Missouri (MO)

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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.
1104828714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041621672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21041621672
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 6 + 7 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1104828714 is valid because the calculated check digit 4 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
1104828375 HARRY M SULZBERGER
Individual
Optometrist 500 KEENE ST
COLUMBIA, Missouri (MO)
573-874-2030
1104828235 ALKISTIS N LAPPAS-CASE
Individual
Nurse Anesthetist, Certified Registered 339 CONSORT DR
BALLWIN, Missouri (MO)
636-386-9224
1104828060 PHILIP H GRAUL
Individual
Nurse Anesthetist, Certified Registered 339 CONSORT DR
BALLWIN, Missouri (MO)
636-386-9224
1104827781 LIBERTY EMERGENCY PHYSICIANS, INC.
Organization
Emergency Medicine 2525 GLENN HENDREN DR
LIBERTY, Missouri (MO)
816-792-7000
1104827575 RENA IRONS
Individual
Licensed Practical Nurse 5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, Missouri (MO)
314-367-5820