FREDRIC R MISHKIN M.D
NPI 1134114614
Internal Medicine, Gastroenterology in Kingsport,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 12, 2005

Contact Information

135 W Ravine Rd
Kingsport,
Post Code: 37660
Phone: (423) 246-6777
Fax: (423) 246-7766

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Fredric R Mishkin M.d in Kingsport - Internal Medicine, Gastroenterology

Fredric R Mishkin M.d is a Internal Medicine, Gastroenterology in Kingsport, . Fredric R Mishkin M.d practices all healthcare services and medical treatments related to Internal Medicine, Gastroenterology. The NPI Number for Fredric R Mishkin M.d is 1134114614. The last update date is 2008-05-23.

Fredric R Mishkin M.d's current location address is 135 W Ravine Rd, Kingsport, . You can contact this provider via phone number (423) 246-6777 and fax number (423) 246-7766. The mailing address for Fredric R Mishkin M.d is 135 W Ravine Rd, Kingsport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1134114614
Provider Name
FREDRIC R MISHKIN M.D
Gender
Male
Entity Type
Individual
Location Address
135 W Ravine Rd, Kingsport,
Location Phone
(423) 246-6777
Location Fax
(423) 246-7766
Mailing Address
135 W Ravine Rd, Kingsport, Tennessee(TN)
Mailing Phone
423-246-6777
Mailing Fax
423-246-7766
Enumeration Date
2005-09-12
Last Update Date
2008-05-23
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

Internal Medicine, Gastroenterology

Taxonomy Code
207RG0100X
Type
-
License No.
MD19796
License State
Tennessee (TN)
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
000000053385 Other (non-Medicare) (01) Kentucky (KY) ANTHEM
000127737 Other (non-Medicare) (01) Tennessee (TN) BCBS OF TN
006025552 MEDICAID (05) Virginia (VA)
057653 Other (non-Medicare) (01) Virginia (VA) ANTHEM
100010463 Other (non-Medicare) (01) Tennessee (TN) PHP TENNCARE
1803461000 MEDICAID (05) West Virginia (WV)
3700033 MEDICAID (05) Tennessee (TN)
4675304 Other (non-Medicare) (01) Tennessee (TN) AETNA
64794654 MEDICAID (05) Kentucky (KY)
TN0103 Other (non-Medicare) (01) Tennessee (TN) UNITED HEALTHCARE RIVER V

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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.
1134114614
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216421862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 216421862
2 + 1 + 6 + 4 + 2 + 1 + 8 + 6 + 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 1134114614 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
1134114341 WILLIAM STONE HOWARD
Individual
Dentist, General Practice PO BOX 179
TURTLETOWN, Tennessee (TN)
423-496-7709
1134114333 JEFFREY ALAN MARCHESSAULT
Individual
Orthopaedic Surgery 509 MED TECH PKWY STE 100
JOHNSON CITY, Tennessee (TN)
423-302-6565
1134114150 DAVID GAREY
Individual
Family Medicine 2863 HIGHWAY 45 BYP
JACKSON, Tennessee (TN)
731-664-1375
1134113707 PHILIP W SMITH
Individual
Surgery, Surgical Critical Care 979 E 3RD ST
CHATTANOOGA, Tennessee (TN)
423-267-0466
1134112766 MARSHA V LEE
Individual
Internal Medicine 8950 HWY 64
LAKELAND, Tennessee (TN)
901-383-7170