JEREMY DAVID WILLES PAC
NPI 1356314843
Physician Assistant in Twin Falls,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 7, 2006

Contact Information

260 Falls Ave
Twin Falls,
Post Code: 83301
Phone: (208) 736-7422
Fax: (208) 736-8905

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Jeremy David Willes Pac in Twin Falls - Physician Assistant

Jeremy David Willes Pac is a Physician Assistant in Twin Falls, . Jeremy David Willes Pac practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy David Willes Pac is 1356314843. The last update date is 2013-05-08.

Jeremy David Willes Pac's current location address is 260 Falls Ave, Twin Falls, . You can contact this provider via phone number (208) 736-7422 and fax number (208) 736-8905. The mailing address for Jeremy David Willes Pac is 260 Falls Ave, Twin Falls, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1356314843
Provider Name
JEREMY DAVID WILLES PAC
Gender
Male
Entity Type
Individual
Location Address
260 Falls Ave, Twin Falls,
Location Phone
(208) 736-7422
Location Fax
(208) 736-8905
Mailing Address
260 Falls Ave, Twin Falls, Idaho(ID)
Mailing Phone
208-736-7422
Mailing Fax
208-736-8905
Enumeration Date
2006-02-07
Last Update Date
2013-05-08
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
pa638
License State
Idaho (ID)
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 363AM0700X Medical Physician Assistant

Physician Assistant, Medical

PA882 (Nevada)

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
000010161377 Other (non-Medicare) (01) Idaho (ID) BLUE SHIELD
000010161378 Other (non-Medicare) (01) Idaho (ID) BLUE SHIELD
807683300 MEDICAID (05) Idaho (ID)
807683301 MEDICAID (05) Idaho (ID)
PAE68 Other (non-Medicare) (01) Idaho (ID) BLUE CROSS
PAE69 Other (non-Medicare) (01) Idaho (ID) BLUE CROSS
100504125 MEDICAID (05) Nevada (NV)

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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.
1356314843
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310661888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2310661888
2 + 3 + 1 + 0 + 6 + 6 + 1 + 8 + 8 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1356314843 is valid because the calculated check digit 3 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
1316940232 HALEY J MINNEHAN
Individual
Family Medicine 701 LEWISTON ST
COTTONWOOD, Idaho (ID)
208-962-3267
1053314864 ALVIN JACKSON SECREST
Individual
Family Medicine 701 LEWISTON ST
COTTONWOOD, Idaho (ID)
208-962-3267
1316940125 JOHN W HOWAR
Individual
Orthopaedic Surgery PO BOX 587
TWIN FALLS, Idaho (ID)
208-814-7400