JONGYEOL KIM MD
NPI 1306822242
Psychiatry & Neurology, Neurology in Lubbock,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 22, 2005

Contact Information

3601 4th St # Ms 8321
Lubbock,
Post Code: 79430
Phone: (806) 743-4999
Fax: -

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Jongyeol Kim Md in Lubbock - Psychiatry & Neurology, Neurology

Jongyeol Kim Md is a Psychiatry & Neurology, Neurology in Lubbock, . Jongyeol Kim Md practices all healthcare services and medical treatments related to Psychiatry & Neurology, Neurology. The NPI Number for Jongyeol Kim Md is 1306822242. The last update date is 2024-04-17.

Jongyeol Kim Md's current location address is 3601 4th St # Ms 8321, Lubbock, . You can contact this provider via phone number (806) 743-4999 and fax number -. The mailing address for Jongyeol Kim Md is 3601 4th St # Ms 8321, Lubbock, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1306822242
Provider Name
JONGYEOL KIM MD
Gender
Male
Entity Type
Individual
Location Address
3601 4th St # Ms 8321, Lubbock,
Location Phone
(806) 743-4999
Location Fax
-
Mailing Address
3601 4th St # Ms 8321, Lubbock, Texas(TX)
Mailing Phone
806-743-4999
Mailing Fax
-
Enumeration Date
2005-12-22
Last Update Date
2024-04-17
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, Clinical Neurophysiology

Taxonomy Code
2084N0600X
Type
-
License No.
P4585
License State
Texas (TX)
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 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

42653 (Texas)

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
10208416 MEDICAID (05) Virginia (VA)
140KX Other (non-Medicare) (01) North Carolina (NC) BCBS
182868 Other (non-Medicare) (01) North Carolina (NC) Medcost
3810003890 MEDICAID (05) West Virginia (WV)
5902240 MEDICAID (05) North Carolina (NC)
7046747 Other (non-Medicare) (01) () Aetna
806577 Other (non-Medicare) (01) North Carolina (NC) Partners
Q0142A MEDICAID (05) South Carolina (SC)

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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.
1306822242
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306162428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2306162428
2 + 3 + 0 + 6 + 1 + 6 + 2 + 4 + 2 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1306822242 is valid because the calculated check digit 2 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
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1164425195 MARIE DENISE JARBATH
Individual
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281-338-4443
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941-925-3490
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