DAVID LOUIS JETMORE MD
NPI 1215939467
Specialist in Richmond,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

1434 Chester Blvd.
Richmond,
Post Code: 47374
Phone: (765) 966-1600
Fax: (765) 962-9641

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David Louis Jetmore Md in Richmond - Specialist

David Louis Jetmore Md is a Specialist in Richmond, . David Louis Jetmore Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Louis Jetmore Md is 1215939467. The last update date is 2021-05-14.

David Louis Jetmore Md's current location address is 1434 Chester Blvd., Richmond, . You can contact this provider via phone number (765) 966-1600 and fax number (765) 962-9641. The mailing address for David Louis Jetmore Md is 1434 Chester Blvd., Richmond, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215939467
Provider Name
DAVID LOUIS JETMORE MD
Gender
Male
Entity Type
Individual
Location Address
1434 Chester Blvd., Richmond,
Location Phone
(765) 966-1600
Location Fax
(765) 962-9641
Mailing Address
1100 Reid Pkwy, Richmond, Indiana(IN)
Mailing Phone
765-983-3127
Mailing Fax
765-983-3219
Enumeration Date
2005-06-01
Last Update Date
2021-05-14
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

Otolaryngology

Taxonomy Code
207Y00000X
Type
-
License No.
01023140A
License State
Indiana (IN)
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 174400000X Specialist

Specialist

01023140A (Indiana)

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
000000841132 Other (non-Medicare) (01) Indiana (IN) Anthem
0544192 MEDICAID (05) Ohio (OH)
100256310 MEDICAID (05) Indiana (IN)

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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.
1215939467
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222518318412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 222518318412
2 + 2 + 2 + 5 + 1 + 8 + 3 + 1 + 8 + 4 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1215939467 is valid because the calculated check digit 7 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
1013910041 DOMINICK DETOMMASO
Individual
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FORT WAYNE, Indiana (IN)
260-436-8686
1164425187 BRIAN T LAURSEN
Individual
Physician Assistant 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1063415297 PARK VIEW PSYCHIATRIC SERVICES, PSC
Organization
Social Worker, Clinical 510 SPRING ST
JEFFERSONVILLE, Indiana (IN)
812-282-1888
1013910033 GARRICK P HUBBARD
Individual
Specialist 11590 N MERIDIAN ST STE 400
CARMEL, Indiana (IN)
317-708-2839
1023011244 SCOTT A FRETZIN
Individual
Dermatology 7910 N SHADELAND AVE
INDIANAPOLIS, Indiana (IN)
317-516-5000