KRISTIANNA DOMINIQUE MATTHEWIS MD
NPI 1235120023
Family Medicine in Essexville,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 2, 2005

Contact Information

863 N Pine Rd
Essexville,
Post Code: 48732
Phone: (989) 928-3566
Fax: (989) 391-9596

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Kristianna Dominique Matthewis Md in Essexville - Family Medicine

Kristianna Dominique Matthewis Md is a Family Medicine in Essexville, . Kristianna Dominique Matthewis Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristianna Dominique Matthewis Md is 1235120023. The last update date is 2017-04-07.

Kristianna Dominique Matthewis Md's current location address is 863 N Pine Rd, Essexville, . You can contact this provider via phone number (989) 928-3566 and fax number (989) 391-9596. The mailing address for Kristianna Dominique Matthewis Md is 863 N Pine Rd, Essexville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1235120023
Provider Name
KRISTIANNA DOMINIQUE MATTHEWIS MD
Gender
Female
Entity Type
Individual
Location Address
863 N Pine Rd, Essexville,
Location Phone
(989) 928-3566
Location Fax
(989) 391-9596
Mailing Address
863 N Pine Rd, Essexville, Michigan(MI)
Mailing Phone
989-928-3566
Mailing Fax
989-391-9596
Enumeration Date
2005-11-02
Last Update Date
2017-04-07
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, Addiction Medicine

Taxonomy Code
207QA0401X
Type
-
License No.
4301066182
License State
Michigan (MI)
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 207Q00000X Family Medicine Physician

Family Medicine

KM066182 (Michigan)

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
0807800522 Other (non-Medicare) (01) () BCBSM
383569775 Other (non-Medicare) (01) () Sheakley Unicomb
4267386 MEDICAID (05) Michigan (MI)
H30738 Other (non-Medicare) (01) () HAP
P00060645 Other (non-Medicare) (01) () Palmetto

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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.
1235120023
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226522004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 226522004
2 + 2 + 6 + 5 + 2 + 2 + 0 + 0 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3 3

The NPI number 1235120023 is valid because the calculated check digit 3 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
1235119975 LISA M LOWERY
Individual
Pediatrics 330 BARCLAY AVE NE
GRAND RAPIDS, Michigan (MI)
616-391-2123
1235119942 DAVID S FEENSTRA
Individual
Anesthesiology 4100 PARK FOREST DR
TRAVERSE CITY, Michigan (MI)
231-935-5770
1235119819 MARY A MARTIN
Individual
Advanced Practice Midwife 12880 MANNING LAKE RD
DELTON, Michigan (MI)
269-999-9999
1235119702 WILLIAM R. FELTEN
Individual
Internal Medicine, Interventional Cardiology 301 W WACKERLY ST
MIDLAND, Michigan (MI)
989-832-0900
1235119462 THOMAS EDWARD KNUFF
Individual
Internal Medicine, Gastroenterology 1414 W FAIR AVE
MARQUETTE, Michigan (MI)
906-225-3880