SALLY ANN HALLGREN D.O.
NPI 1114915402
Anesthesiology, Pain Medicine in Fort Worth,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 11, 2005

Contact Information

311 University Dr
Fort Worth,
Post Code: 76107
Phone: (817) 877-4787
Fax: (817) 877-1654

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Sally Ann Hallgren D.o. in Fort Worth - Anesthesiology, Pain Medicine

Sally Ann Hallgren D.o. is a Anesthesiology, Pain Medicine in Fort Worth, . Sally Ann Hallgren D.o. practices all healthcare services and medical treatments related to Anesthesiology, Pain Medicine. The NPI Number for Sally Ann Hallgren D.o. is 1114915402. The last update date is 2012-02-22.

Sally Ann Hallgren D.o.'s current location address is 311 University Dr, Fort Worth, . You can contact this provider via phone number (817) 877-4787 and fax number (817) 877-1654. The mailing address for Sally Ann Hallgren D.o. is 311 University Dr, Fort Worth, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114915402
Provider Name
SALLY ANN HALLGREN D.O.
Gender
Female
Entity Type
Individual
Location Address
311 University Dr, Fort Worth,
Location Phone
(817) 877-4787
Location Fax
(817) 877-1654
Mailing Address
311 University Dr, Fort Worth, Texas(TX)
Mailing Phone
817-877-4787
Mailing Fax
817-877-1654
Enumeration Date
2005-10-11
Last Update Date
2012-02-22
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

Anesthesiology, Pain Medicine

Taxonomy Code
207LP2900X
Type
-
License No.
E9484
License State
Texas (TX)
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 208VP0000X Pain Medicine Physician

Pain Medicine, Pain Medicine

E9484 (Texas)

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
0325318-01 MEDICAID (05) Texas (TX)

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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.
1114915402
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241811040
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241811040
2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 0 + 4 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1114915402 is valid because the calculated check digit 2 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.

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956-581-8833
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Organization
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ARLINGTON, Texas (TX)
817-467-6099
1023011210 MAUREEN STANEK POLAKOWSKI
Individual
Nurse Practitioner 4835 LBJ FWY STE 900
DALLAS, Texas (TX)
844-941-3087