MICHAEL BACKUES MSM, ATC, PA-C
NPI 1114900131
Specialist/technologist, Athletic Trainer in Columbia,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 23, 2005

Contact Information

1224 Trotwood Ave
Columbia,
Post Code: 38401
Phone: (931) 381-1111
Fax: -

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Michael Backues Msm, Atc, Pa-c in Columbia - Specialist/Technologist, Athletic Trainer

Michael Backues Msm, Atc, Pa-c is a Specialist/Technologist, Athletic Trainer in Columbia, . Michael Backues Msm, Atc, Pa-c practices all healthcare services and medical treatments related to Specialist/Technologist, Athletic Trainer. The NPI Number for Michael Backues Msm, Atc, Pa-c is 1114900131. The last update date is 2020-01-09.

Michael Backues Msm, Atc, Pa-c's current location address is 1224 Trotwood Ave, Columbia, . You can contact this provider via phone number (931) 381-1111 and fax number -. The mailing address for Michael Backues Msm, Atc, Pa-c is 1224 Trotwood Ave, Columbia, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114900131
Provider Name
MICHAEL BACKUES MSM, ATC, PA-C
Gender
Male
Entity Type
Individual
Location Address
1224 Trotwood Ave, Columbia,
Location Phone
(931) 381-1111
Location Fax
-
Mailing Address
1224 Trotwood Ave, Columbia, Tennessee(TN)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-11-23
Last Update Date
2020-01-09
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.
2267
License State
Tennessee (TN)
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 2255A2300X Athletic Trainer

Specialist/Technologist, Athletic Trainer

627 (Tennessee)

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

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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.
1114900131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124180016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124180016
2 + 1 + 2 + 4 + 1 + 8 + 0 + 0 + 1 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1114900131 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
1104899558 CHARLES R. WATSON
Individual
Anesthesiology 400 S 4TH ST
SAINT LOUIS, Missouri (MO)
337-591-5813
1104899079 RICHARD HUNTER SMITH
Individual
Dentist, General Practice 789 REDDOCH ST
MEMPHIS, Tennessee (TN)
901-685-0153
1104899012 RICHARD WARREN FARNUM
Individual
Family Medicine 1028 THRASHER DR
CLARKSVILLE, Tennessee (TN)
240-291-5431
1104897420 STEPHEN JOHN BROWN
Individual
Radiology, Diagnostic Radiology 1924 ALCOA HWY
KNOXVILLE, Tennessee (TN)
865-305-9661
1104897164 CHRISTOPHER R EDWARDS
Individual
Internal Medicine 1224 TROTWOOD AVE
COLUMBIA, Tennessee (TN)
931-381-1111