SUSAN DIANE BOULWARE MD
NPI 1124001946
Pediatrics, Pediatric Endocrinology in New Haven,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 25, 2005

Contact Information

300 George St
New Haven,
Post Code: 06536
Phone: -
Fax: -

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Susan Diane Boulware Md in New Haven - Pediatrics, Pediatric Endocrinology

Susan Diane Boulware Md is a Pediatrics, Pediatric Endocrinology in New Haven, . Susan Diane Boulware Md practices all healthcare services and medical treatments related to Pediatrics, Pediatric Endocrinology. The NPI Number for Susan Diane Boulware Md is 1124001946. The last update date is 2008-08-04.

Susan Diane Boulware Md's current location address is 300 George St, New Haven, . You can contact this provider via phone number - and fax number -. The mailing address for Susan Diane Boulware Md is 300 George St, New Haven, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124001946
Provider Name
SUSAN DIANE BOULWARE MD
Gender
Female
Entity Type
Individual
Location Address
300 George St, New Haven,
Location Phone
-
Location Fax
-
Mailing Address
2 Church St S, New Haven, Connecticut(CT)
Mailing Phone
203-764-9199
Mailing Fax
203-764-9149
Enumeration Date
2005-11-25
Last Update Date
2008-08-04
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

Pediatrics, Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
-
License No.
028443
License State
Connecticut (CT)
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
001284439 MEDICAID (05) Connecticut (CT)

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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.
1124001946
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214400298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 214400298
2 + 1 + 4 + 4 + 0 + 0 + 2 + 9 + 8 + 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 1124001946 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
1023011145 MICHAEL THERRIEN
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1114920212 ANNE E CICALE
Individual
Nurse Practitioner, Family NP RESOURCES, LLC
SHELTON, Connecticut (CT)
203-925-9600
1083617161 ANITA KELSEY
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617831 JANET SEGEN
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1104829076 LUCIA VIGNA
Individual
Anesthesiology 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276