DEBORAH BANAZAK WAGENAAR D.O.
NPI 1255315628
Psychiatry & Neurology, Psychiatry in East Lansing,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 30, 2005

Contact Information

909 Wilson Rd Rm B119
East Lansing,
Post Code: 48824
Phone: (517) 353-3070
Fax: (517) 884-1817

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Deborah Banazak Wagenaar D.o. in East Lansing - Psychiatry & Neurology, Psychiatry

Deborah Banazak Wagenaar D.o. is a Psychiatry & Neurology, Psychiatry in East Lansing, . Deborah Banazak Wagenaar D.o. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Psychiatry. The NPI Number for Deborah Banazak Wagenaar D.o. is 1255315628. The last update date is 2023-06-29.

Deborah Banazak Wagenaar D.o.'s current location address is 909 Wilson Rd Rm B119, East Lansing, . You can contact this provider via phone number (517) 353-3070 and fax number (517) 884-1817. The mailing address for Deborah Banazak Wagenaar D.o. is 909 Wilson Rd Rm B119, East Lansing, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255315628
Provider Name
DEBORAH BANAZAK WAGENAAR D.O.
Gender
Female
Entity Type
Individual
Location Address
909 Wilson Rd Rm B119, East Lansing,
Location Phone
(517) 353-3070
Location Fax
(517) 884-1817
Mailing Address
804 Service Rd Ste A109b, East Lansing, Michigan(MI)
Mailing Phone
517-353-3070
Mailing Fax
517-884-1817
Enumeration Date
2005-11-30
Last Update Date
2023-06-29
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

Psychiatry & Neurology, Geriatric Psychiatry

Taxonomy Code
2084P0805X
Type
-
License No.
5101008530
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 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

5101008530 (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
1255315628 MEDICAID (05) Michigan (MI)
3179331 MEDICAID (05) Michigan (MI)

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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.
1255315628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105611064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105611064
2 + 2 + 1 + 0 + 5 + 6 + 1 + 1 + 0 + 6 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1255315628 is valid because the calculated check digit 8 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
1184627135 ALLEGAN COUNTY HEALTH DEPARTMENT
Organization
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ALLEGAN, Michigan (MI)
269-267-5411
1215930490 FAMILY ORTHOPEDIC ASSOCIATES P L C
ORTHOMICHIGAN/ORTHOMICHIGAN NOW/ORTHOMICHIGAN THERAPY SERVICES
Organization
Orthopaedic Surgery 4466 W BRISTOL RD
FLINT, Michigan (MI)
810-733-1200
1003819004 MARY BERNONA STEVENS
Individual
Dentist, General Practice 1172 NIXON AVE NW
GRAND RAPIDS, Michigan (MI)
616-453-0644
1073516118 LIVINGSTON COUNTY TREASURER
LIVINGSTON COUNTY EMS
Organization
Ambulance, Land Transport 1911 TOOLEY RD
HOWELL, Michigan (MI)
517-546-6220
1245233352 MARTIN F MCGOUGH
Individual
Internal Medicine, Cardiovascular Disease 1701 SOUTH BLVD E
ROCHESTER HILLS, Michigan (MI)
248-293-0055