KENNETH ROY PENDERGRAST M.D.
NPI 1255304697
Internal Medicine in Salem,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 8, 2006

Contact Information

2155 Apperson Dr
Salem,
Post Code: 24153
Phone: (540) 444-2010
Fax: (540) 444-2019

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Kenneth Roy Pendergrast M.d. in Salem - Internal Medicine

Kenneth Roy Pendergrast M.d. is a Internal Medicine in Salem, . Kenneth Roy Pendergrast M.d. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth Roy Pendergrast M.d. is 1255304697. The last update date is 2022-11-03.

Kenneth Roy Pendergrast M.d.'s current location address is 2155 Apperson Dr, Salem, . You can contact this provider via phone number (540) 444-2010 and fax number (540) 444-2019. The mailing address for Kenneth Roy Pendergrast M.d. is 2155 Apperson Dr, Salem, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255304697
Provider Name
KENNETH ROY PENDERGRAST M.D.
Gender
Male
Entity Type
Individual
Location Address
2155 Apperson Dr, Salem,
Location Phone
(540) 444-2010
Location Fax
(540) 444-2019
Mailing Address
2000 Health Park Dr Fl Hp2, Brentwood, Tennessee(TN)
Mailing Phone
615-373-7600
Mailing Fax
877-767-2310
Enumeration Date
2006-02-08
Last Update Date
2022-11-03
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

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
04-45914
License State
Kansas (KS)
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 207R00000X Internal Medicine Physician

Internal Medicine

0101042805 (Virginia)
2 208M00000X Hospitalist Physician

Hospitalist

04-45914 (Kansas)
3 208M00000X Hospitalist Physician

Hospitalist

0101042805 (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
1255304697 MEDICAID (05) Virginia (VA)
6036732 MEDICAID (05) Virginia (VA)

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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.
1255304697
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105608618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105608618
2 + 2 + 1 + 0 + 5 + 6 + 0 + 8 + 6 + 1 + 8 + 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 1255304697 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
1215930243 ANDREW LLOYD VINCENT
Individual
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WINCHESTER, Virginia (VA)
540-667-3338
1225031263 WILLIAM MICHAEL LYTH
Individual
Anesthesiology 856 J CLYDE MORRIS BLVD
NEWPORT NEWS, Virginia (VA)
757-594-4006
1134122161 RODRIGO C HURTADO
Individual
Allergy & Immunology 3450 N BEAUREGARD ST
ALEXANDRIA, Virginia (VA)
703-820-7000
1205839438 SCOTT A TRAPP
Individual
Dentist, General Practice 3832 HOUNDSTOOTH CT
RICHMOND, Virginia (VA)
804-387-3603
1013910207 CORWIN LEE BROWER
Individual
Pharmacist 1010 PENDLETON ST
RADFORD, Virginia (VA)
540-639-5884