RALPH ATHEN TESSENEER MD
NPI 1164400214
Family Medicine, Adult Medicine in Spartanburg,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 7, 2006

Contact Information

1690 Skylyn Dr Ste 300a
Spartanburg,
Post Code: 29307
Phone: (864) 342-4000
Fax: (864) 596-7409

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Ralph Athen Tesseneer Md in Spartanburg - Family Medicine, Adult Medicine

Ralph Athen Tesseneer Md is a Family Medicine, Adult Medicine in Spartanburg, . Ralph Athen Tesseneer Md practices all healthcare services and medical treatments related to Family Medicine, Adult Medicine. The NPI Number for Ralph Athen Tesseneer Md is 1164400214. The last update date is 2020-12-31.

Ralph Athen Tesseneer Md's current location address is 1690 Skylyn Dr Ste 300a, Spartanburg, . You can contact this provider via phone number (864) 342-4000 and fax number (864) 596-7409. The mailing address for Ralph Athen Tesseneer Md is 1690 Skylyn Dr Ste 300a, Spartanburg, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164400214
Provider Name
RALPH ATHEN TESSENEER MD
Gender
Male
Entity Type
Individual
Location Address
1690 Skylyn Dr Ste 300a, Spartanburg,
Location Phone
(864) 342-4000
Location Fax
(864) 596-7409
Mailing Address
Po Box 743070, Atlanta, Georgia(GA)
Mailing Phone
864-560-4304
Mailing Fax
864-560-4413
Enumeration Date
2006-01-07
Last Update Date
2020-12-31
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
8959
License State
South Carolina (SC)
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 207QA0505X Adult Medicine Physician

Family Medicine, Adult Medicine

8959 (South Carolina)

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
089594 MEDICAID (05) South Carolina (SC)
P00386809 Other (non-Medicare) (01) Georgia (GA) Medicare Railroad PTAN#
SCE4905019 Other (non-Medicare) (01) South Carolina (SC) MEDICARE PIN

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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.
1164400214
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112480022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2112480022
2 + 1 + 1 + 2 + 4 + 8 + 0 + 0 + 2 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1164400214 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
1154324374 EDWARD WILLIAM TRUDO
Individual
Ophthalmology 109 BEE ST
CHARLESTON, South Carolina (SC)
843-577-5011
1093718009 CHARLES S. BEBKO
Individual
Dentist, General Practice 1111 W O EZELL BLVD
SPARTANBURG, South Carolina (SC)
864-576-0947
1063415214 MICHAEL W HOLMES
Individual
Ophthalmology 479 HEYWOOD AVE
SPARTANBURG, South Carolina (SC)
864-583-6381
1083617880 ANTHONY DEAN LOWMAN
Individual
Internal Medicine, Gastroenterology 300 E MCBEE AVE FL 4
GREENVILLE, South Carolina (SC)
864-522-8603
1154324077 MICHAEL J SANTA LUCIA
Individual
Physical Therapist 1655 CANE BAY BLVD STE B
SUMMERVILLE, South Carolina (SC)
843-719-7473