SAMUEL WILLIAM POLEN M.D.
NPI 1194721076
Emergency Medicine in Florence,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 24, 2005

Contact Information

101 Pee Dee Dr
Florence,
Post Code: 29501
Phone: (843) 661-5061
Fax: -

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Samuel William Polen M.d. in Florence - Emergency Medicine

Samuel William Polen M.d. is a Emergency Medicine in Florence, . Samuel William Polen M.d. practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Samuel William Polen M.d. is 1194721076. The last update date is 2008-03-28.

Samuel William Polen M.d.'s current location address is 101 Pee Dee Dr, Florence, . You can contact this provider via phone number (843) 661-5061 and fax number -. The mailing address for Samuel William Polen M.d. is 101 Pee Dee Dr, Florence, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1194721076
Provider Name
SAMUEL WILLIAM POLEN M.D.
Gender
Male
Entity Type
Individual
Location Address
101 Pee Dee Dr, Florence,
Location Phone
(843) 661-5061
Location Fax
-
Mailing Address
1315 Roberts St, Camden, South Carolina(SC)
Mailing Phone
803-713-6140
Mailing Fax
-
Enumeration Date
2005-06-24
Last Update Date
2008-03-28
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

Emergency Medicine

Taxonomy Code
207P00000X
Type
-
License No.
012753
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 207PE0005X Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

Emergency Medicine, Undersea and Hyperbaric Medicine

012753 (South Carolina)
2 207Q00000X Family Medicine Physician

Family Medicine

012753 (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
127534 MEDICAID (05) South Carolina (SC)

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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.
1194721076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841422014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211841422014
2 + 1 + 1 + 8 + 4 + 1 + 4 + 2 + 2 + 0 + 1 + 4 + 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 1194721076 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
1184627317 JAMES M WILSON
Individual
Specialist 744 ARDEN LN
ROCK HILL, South Carolina (SC)
803-329-1660
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