CORMAC ODONOVAN MD
NPI 1366428443
Psychiatry & Neurology, Neurology in Winston Salem,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 20, 2005

Contact Information

Po Box 344
Winston Salem,
Post Code: 27102
Phone: (336) 716-2255
Fax: (336) 716-9016

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Cormac Odonovan Md in Winston Salem - Psychiatry & Neurology, Neurology

Cormac Odonovan Md is a Psychiatry & Neurology, Neurology in Winston Salem, . Cormac Odonovan Md practices all healthcare services and medical treatments related to Psychiatry & Neurology, Neurology. The NPI Number for Cormac Odonovan Md is 1366428443. The last update date is 2010-11-12.

Cormac Odonovan Md's current location address is Po Box 344, Winston Salem, . You can contact this provider via phone number (336) 716-2255 and fax number (336) 716-9016. The mailing address for Cormac Odonovan Md is Po Box 344, Winston Salem, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1366428443
Provider Name
CORMAC ODONOVAN MD
Gender
Male
Entity Type
Individual
Location Address
Po Box 344, Winston Salem,
Location Phone
(336) 716-2255
Location Fax
(336) 716-9016
Mailing Address
Medical Center Blvd, Winston Salem, North Carolina(NC)
Mailing Phone
336-716-2255
Mailing Fax
336-716-9016
Enumeration Date
2005-12-20
Last Update Date
2010-11-12
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, Neurology

Taxonomy Code
2084N0400X
Type
-
License No.
9500678
License State
North Carolina (NC)
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 2084N0600X Clinical Neurophysiology Physician

Psychiatry & Neurology, Clinical Neurophysiology

9500678 (North Carolina)

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
11387 Other (non-Medicare) (01) North Carolina (NC) Partners
3002234000 MEDICAID (05) West Virginia (WV)
5249360 Other (non-Medicare) (01) () Aetna
6100368 MEDICAID (05) Virginia (VA)
63701 Other (non-Medicare) (01) North Carolina (NC) BCBS
64148 Other (non-Medicare) (01) North Carolina (NC) Medcost
8963701 MEDICAID (05) North Carolina (NC)
Q00670 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.
1366428443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126821648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23126821648
2 + 3 + 1 + 2 + 6 + 8 + 2 + 1 + 6 + 4 + 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 1366428443 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
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910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
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252-752-6101
1235132382 WILLIAM MARTIN WALKER
Individual
Optometrist 402 S COX ST
ASHEBORO, North Carolina (NC)
336-625-4359
1104829159 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory 531 S SPRING ST
BURLINGTON, North Carolina (NC)
800-222-7566