MARK GREGORY DESAUTEL MD
NPI 1255338174
Otolaryngology in Sioux Falls,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 7, 2005

Contact Information

1310 W 22nd St
Sioux Falls,
Post Code: 57105
Phone: (605) 328-8200
Fax: (605) 328-8201

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Mark Gregory Desautel Md in Sioux Falls - Otolaryngology

Mark Gregory Desautel Md is a Otolaryngology in Sioux Falls, . Mark Gregory Desautel Md practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark Gregory Desautel Md is 1255338174. The last update date is 2014-06-11.

Mark Gregory Desautel Md's current location address is 1310 W 22nd St, Sioux Falls, . You can contact this provider via phone number (605) 328-8200 and fax number (605) 328-8201. The mailing address for Mark Gregory Desautel Md is 1310 W 22nd St, Sioux Falls, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255338174
Provider Name
MARK GREGORY DESAUTEL MD
Gender
Male
Entity Type
Individual
Location Address
1310 W 22nd St, Sioux Falls,
Location Phone
(605) 328-8200
Location Fax
(605) 328-8201
Mailing Address
Po Box 5074, Sioux Falls, South Dakota(SD)
Mailing Phone
605-328-6585
Mailing Fax
605-328-6512
Enumeration Date
2005-07-07
Last Update Date
2014-06-11
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

Otolaryngology

Taxonomy Code
207Y00000X
Type
-
License No.
4246
License State
South Dakota (SD)
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 207YP0228X Pediatric Otolaryngology Physician

Otolaryngology, Pediatric Otolaryngology

4246 (South Dakota)
2 207YS0123X Facial Plastic Surgery Physician

Otolaryngology, Facial Plastic Surgery

4246 (South Dakota)
3 207YX0602X Otolaryngic Allergy Physician

Otolaryngology, Otolaryngic Allergy

4246 (South Dakota)
4 207YX0901X Otology & Neurotology Physician

Otolaryngology, Otology & Neurotology

4246 (South Dakota)
5 207YX0905X Otolaryngology/Facial Plastic Surgery Physician

Otolaryngology, Otolaryngology/Facial Plastic Surgery

4246 (South Dakota)

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
1986174 MEDICAID (05) Iowa (IA)
4996176 Other (non-Medicare) (01) South Dakota (SD) BLUE SHIELD
6520242 MEDICAID (05) South Dakota (SD)
8015163000 MEDICAID (05) Minnesota (MN)

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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.
1255338174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221056316114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 221056316114
2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 6 + 1 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1255338174 is valid because the calculated check digit 4 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
1043213861 JB SKIBINSKI
Individual
Dentist, Pediatric Dentistry 3813 S KIWANIS CIR
SIOUX FALLS, South Dakota (SD)
605-332-1095
1093718769 ELIZABETH J SAYLER
Individual
Internal Medicine 353 FAIRMONT BLVD
RAPID CITY, South Dakota (SD)
1184627036 BLANCA LUCIA MARKY
Individual
Psychiatry & Neurology, Neurology 575 N SIOUX POINT RD
DAKOTA DUNES, South Dakota (SD)
605-217-2667
1255334157 WILLIAM ROSEN
Individual
Urology PO BOX 5074
SIOUX FALLS, South Dakota (SD)
1154324614 DIANE ANDERSON
Individual
Registered Nurse, Diabetes Educator 71 CHARLES ST
DEADWOOD, South Dakota (SD)
605-578-2364