SHANE BLAKE ANDERSON D.O.
NPI 1144208661
Radiology, Diagnostic Radiology in Fort Sam Houston,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 4, 2006

Contact Information

3551 Roger Brooke Dr
Fort Sam Houston,
Post Code: 78234
Phone: (210) 916-4062
Fax: -

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Shane Blake Anderson D.o. in Fort Sam Houston - Radiology, Diagnostic Radiology

Shane Blake Anderson D.o. is a Radiology, Diagnostic Radiology in Fort Sam Houston, . Shane Blake Anderson D.o. practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for Shane Blake Anderson D.o. is 1144208661. The last update date is 2023-12-19.

Shane Blake Anderson D.o.'s current location address is 3551 Roger Brooke Dr, Fort Sam Houston, . You can contact this provider via phone number (210) 916-4062 and fax number -. The mailing address for Shane Blake Anderson D.o. is 3551 Roger Brooke Dr, Fort Sam Houston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1144208661
Provider Name
SHANE BLAKE ANDERSON D.O.
Gender
Male
Entity Type
Individual
Location Address
3551 Roger Brooke Dr, Fort Sam Houston,
Location Phone
(210) 916-4062
Location Fax
-
Mailing Address
3551 Roger Brooke Dr, Fort Sam Houston, Texas(TX)
Mailing Phone
Mailing Fax
-
Enumeration Date
2006-01-04
Last Update Date
2023-12-19
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

Nuclear Medicine

Taxonomy Code
207U00000X
Type
-
License No.
328507-1204
License State
Utah (UT)
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 2085R0202X Diagnostic Radiology Physician

Radiology, Diagnostic Radiology

378 (Nebraska)
2 207UN0902X Nuclear Imaging & Therapy Physician

Nuclear Medicine, Nuclear Imaging & Therapy

378 (Nebraska)

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.
1144208661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21844016612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21844016612
2 + 1 + 8 + 4 + 4 + 0 + 1 + 6 + 6 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1144208661 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
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
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713-781-3517
1093718025 YODORINCMISSIONPLAZAPHARMACY
Organization
Durable Medical Equipment & Medical Supplies 906 S BRYAN RD
MISSION, Texas (TX)
956-581-8833
1093718033 TARRANT MEDICAL IMAGING, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1063415008 ARLINGTON MEDICAL IMAGING LLC
Organization
Physiological Laboratory 3025 MATLOCK RD
ARLINGTON, Texas (TX)
817-467-6099
1023011210 MAUREEN STANEK POLAKOWSKI
Individual
Nurse Practitioner 4835 LBJ FWY STE 900
DALLAS, Texas (TX)
844-941-3087