ELLEN AMANDA JANETZKE M.D.
NPI 1235120742
Specialist in Bloomfield Hills,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 3, 2005

Contact Information

60 W Big Beaver Rd Ste 100
Bloomfield Hills,
Post Code: 48304
Phone: (248) 258-5100
Fax: -

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Ellen Amanda Janetzke M.d. in Bloomfield Hills - Specialist

Ellen Amanda Janetzke M.d. is a Specialist in Bloomfield Hills, . Ellen Amanda Janetzke M.d. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ellen Amanda Janetzke M.d. is 1235120742. The last update date is 2021-05-20.

Ellen Amanda Janetzke M.d.'s current location address is 60 W Big Beaver Rd Ste 100, Bloomfield Hills, . You can contact this provider via phone number (248) 258-5100 and fax number -. The mailing address for Ellen Amanda Janetzke M.d. is 60 W Big Beaver Rd Ste 100, Bloomfield Hills, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1235120742
Provider Name
ELLEN AMANDA JANETZKE M.D.
Gender
Female
Entity Type
Individual
Location Address
60 W Big Beaver Rd Ste 100, Bloomfield Hills,
Location Phone
(248) 258-5100
Location Fax
-
Mailing Address
60 W Big Beaver Rd, Bloomfield Hills, Michigan(MI)
Mailing Phone
248-258-5100
Mailing Fax
-
Enumeration Date
2005-11-03
Last Update Date
2021-05-20
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

Specialist

Taxonomy Code
174400000X
Type
-
License No.
4301066875
License State
Michigan (MI)
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
0634039 Other (non-Medicare) (01) Michigan (MI) Blue Cross Blue Shield
4427695 MEDICAID (05) Michigan (MI)
7316280 Other (non-Medicare) (01) Michigan (MI) Aetna

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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.
1235120742
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226522078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 226522078
2 + 2 + 6 + 5 + 2 + 2 + 0 + 7 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1235120742 is valid because the calculated check digit 2 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
1235120569 DUSHAN NESTOR
Individual
Family Medicine 2888 E LONG LAKE RD
TROY, Michigan (MI)
248-689-1330
1235120551 MICHAEL K MARGOLIS
Individual
Internal Medicine 3950 S ROCHESTER RD
ROCHESTER HILLS, Michigan (MI)
248-844-6000
1235120064 GREGORY STEPHEN HERZLER
Individual
Dentist, General Practice 971 CANTERBURY DR
SAGINAW, Michigan (MI)
989-793-2204
1235120023 KRISTIANNA DOMINIQUE MATTHEWIS
Individual
Family Medicine 863 N PINE RD
ESSEXVILLE, Michigan (MI)
989-928-3566
1235119975 LISA M LOWERY
Individual
Pediatrics 330 BARCLAY AVE NE
GRAND RAPIDS, Michigan (MI)
616-391-2123