RANDAL LEE WRAALSTAD D.P.M.
NPI 1255334066
Podiatrist, Foot & Ankle Surgery in Twin Falls,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2005

Contact Information

762 N College Rd Ste A
Twin Falls,
Post Code: 83301
Phone: (208) 814-7150
Fax: (208) 814-7170

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Randal Lee Wraalstad D.p.m. in Twin Falls - Podiatrist, Foot & Ankle Surgery

Randal Lee Wraalstad D.p.m. is a Podiatrist, Foot & Ankle Surgery in Twin Falls, . Randal Lee Wraalstad D.p.m. practices all healthcare services and medical treatments related to Podiatrist, Foot & Ankle Surgery. The NPI Number for Randal Lee Wraalstad D.p.m. is 1255334066. The last update date is 2024-11-05.

Randal Lee Wraalstad D.p.m.'s current location address is 762 N College Rd Ste A, Twin Falls, . You can contact this provider via phone number (208) 814-7150 and fax number (208) 814-7170. The mailing address for Randal Lee Wraalstad D.p.m. is 762 N College Rd Ste A, Twin Falls, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255334066
Provider Name
RANDAL LEE WRAALSTAD D.P.M.
Gender
Male
Entity Type
Individual
Location Address
762 N College Rd Ste A, Twin Falls,
Location Phone
(208) 814-7150
Location Fax
(208) 814-7170
Mailing Address
190 E Bannock St, Boise, Idaho(ID)
Mailing Phone
Mailing Fax
208-814-7491
Enumeration Date
2005-05-24
Last Update Date
2024-11-05
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

Podiatrist, Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
-
License No.
p152
License State
Idaho (ID)
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
804243900 MEDICAID (05) Idaho (ID)
P00899555 Other (non-Medicare) (01) Idaho (ID) MCRR

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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.
1255334066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105638012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105638012
2 + 2 + 1 + 0 + 5 + 6 + 3 + 8 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1255334066 is valid because the calculated check digit 6 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
1144223900 BOISE MEMORIAL HOSPICE LLC
BOISE MEMORIAL HOSPICE
Organization
Hospice Care, Community Based 600 E STATE ST
EAGLE, Idaho (ID)
208-938-4100
1174526974 MICHAEL R MCMARTIN
Individual
Physical Medicine & Rehabilitation 1000 N CURTIS RD
BOISE, Idaho (ID)
208-377-3435
1053314864 ALVIN JACKSON SECREST
Individual
Family Medicine 701 LEWISTON ST
COTTONWOOD, Idaho (ID)
208-962-3267
1003819509 JULIA MARIE JENSEN
Individual
Family Medicine 211 16TH AVE N
NAMPA, Idaho (ID)
208-467-4431
1093718702 SHANNON DEE GAERTNER-EWING
Individual
Chiropractor, Nutrition 217 W GEORGIA AVE STE 120
NAMPA, Idaho (ID)
208-467-5994