JEFFERY W EDSTROM
NPI 1164427274
Nurse Anesthetist, Certified Registered in Buffalo,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 15, 2005

Contact Information

553 N Pinnacle Dr
Buffalo,
Post Code: 82834
Phone: (307) 684-7817
Fax: -

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Jeffery W Edstrom in Buffalo - Nurse Anesthetist, Certified Registered

Jeffery W Edstrom is a Nurse Anesthetist, Certified Registered in Buffalo, . Jeffery W Edstrom practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jeffery W Edstrom is 1164427274. The last update date is 2014-06-03.

Jeffery W Edstrom 's current location address is 553 N Pinnacle Dr, Buffalo, . You can contact this provider via phone number (307) 684-7817 and fax number -. The mailing address for Jeffery W Edstrom is 553 N Pinnacle Dr, Buffalo, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164427274
Provider Name
JEFFERY W EDSTROM
Gender
Male
Entity Type
Individual
Location Address
553 N Pinnacle Dr, Buffalo,
Location Phone
(307) 684-7817
Location Fax
-
Mailing Address
497 W Lott St, Buffalo, Wyoming(WY)
Mailing Phone
307-684-5521
Mailing Fax
307-684-5385
Enumeration Date
2005-06-15
Last Update Date
2014-06-03
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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
-
License No.
129337
License State
Wisconsin (WI)
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
43403300 MEDICAID (05) Wisconsin (WI)

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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.
1164427274
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211248214214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211248214214
2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 4 + 2 + 1 + 4 + 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 1164427274 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
1144223272 MARK FREDERICK HOFFMANN
Individual
Obstetrics & Gynecology 2710 E HARNEY ST
LARAMIE, Wyoming (WY)
307-745-8991
1073516571 SHAUNA K MCKUSKER
Individual
Ophthalmology 1300 E 20TH ST
CHEYENNE, Wyoming (WY)
307-634-2020
1134124134 CELINA FRANCES TOLGE
Individual
Psychiatry & Neurology, Neurology PO BOX 20970
CHEYENNE, Wyoming (WY)
307-432-0335
1063417954 SUSAN K. ROBERTS
Individual
Family Medicine 1842 SUGARLAND DR
SHERIDAN, Wyoming (WY)
307-673-4960
1114923463 DUNCAN HUGH FRASER
Individual
Podiatrist, Primary Podiatric Medicine 777 AVENUE H
POWELL, Wyoming (WY)
307-754-9191