DOUGLAS WAYNE SODERDAHL M.D.
NPI 1245217769
Military Health Care Provider in Fort Sam Houston,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 27, 2005

Contact Information

3851 Roger Brooke Drive
Fort Sam Houston,
Post Code: 78234
Phone: (210) 916-2460
Fax: -

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Douglas Wayne Soderdahl M.d. in Fort Sam Houston - Military Health Care Provider

Douglas Wayne Soderdahl M.d. is a Military Health Care Provider in Fort Sam Houston, . Douglas Wayne Soderdahl M.d. practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Douglas Wayne Soderdahl M.d. is 1245217769. The last update date is 2015-05-13.

Douglas Wayne Soderdahl M.d.'s current location address is 3851 Roger Brooke Drive, Fort Sam Houston, . You can contact this provider via phone number (210) 916-2460 and fax number -. The mailing address for Douglas Wayne Soderdahl M.d. is 3851 Roger Brooke Drive, Fort Sam Houston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245217769
Provider Name
DOUGLAS WAYNE SODERDAHL M.D.
Gender
Male
Entity Type
Individual
Location Address
3851 Roger Brooke Drive, Fort Sam Houston,
Location Phone
(210) 916-2460
Location Fax
-
Mailing Address
3851 Roger Brooke Drive, Fort Sam Houston, Texas(TX)
Mailing Phone
210-916-2460
Mailing Fax
-
Enumeration Date
2005-12-27
Last Update Date
2015-05-13
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

Urology

Taxonomy Code
208800000X
Type
-
License No.
34673-20
License State
Wisconsin (WI)
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 171000000X Military Health Care Provider

Military Health Care Provider

0101233888 (Virginia)

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

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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.
1245217769
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854114712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22854114712
2 + 2 + 8 + 5 + 4 + 1 + 1 + 4 + 7 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1245217769 is valid because the calculated check digit 9 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
1215930367 LAURENT GRESSOT
Individual
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HOUSTON, Texas (TX)
281-440-5006
1205839230 MERCY EMS, LLC
MERCY EMS
Organization
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ADDISON, Texas (TX)
972-788-9401
1164425195 MARIE DENISE JARBATH
Individual
Physician Assistant 17448 HIGHWAY 3
WEBSTER, Texas (TX)
281-338-4443
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
HOUSTON, Texas (TX)
713-781-3517
1215930268 CHARLES L YEN
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006