FORT WAYNE NEUROSURGERY
NPI 1366433369
Clinical Neuropsychologist in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 31, 2005

Contact Information

7956 W Jefferson Blvd
Fort Wayne,
Post Code: 46804
Phone: (260) 436-2416
Fax: -

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Fort Wayne Neurosurgery in Fort Wayne - Clinical Neuropsychologist

Fort Wayne Neurosurgery is a Clinical Neuropsychologist in Fort Wayne, . Fort Wayne Neurosurgery practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Fort Wayne Neurosurgery is 1366433369. The last update date is 2018-12-07.

Fort Wayne Neurosurgery's current location address is 7956 W Jefferson Blvd, Fort Wayne, . You can contact this provider via phone number (260) 436-2416 and fax number -. The mailing address for Fort Wayne Neurosurgery is 7956 W Jefferson Blvd, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1366433369
Provider Legal Name
ALLIED PHYSICIANS INC
Other Organization Name
FORT WAYNE NEUROSURGERY
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
7956 W Jefferson Blvd, Fort Wayne,
Location Phone
(260) 436-2416
Location Fax
-
Mailing Address
7956 W Jefferson Blvd, Fort Wayne, Indiana(IN)
Mailing Phone
260-436-2416
Mailing Fax
-
Enumeration Date
2005-10-31
Last Update Date
2018-12-07
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

Neurological Surgery

Taxonomy Code
207T00000X
Type
-
License No.
-
License State
-
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 103G00000X Clinical Neuropsychologist

Clinical Neuropsychologist

()
2 1041C0700X Clinical Social Worker

Social Worker, Clinical

()
3 2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician

Physical Medicine & Rehabilitation, Pain Medicine

()
4 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

()
5 2084N0402X Neurology with Special Qualifications in Child Neurology Physician

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology

()
6 2084V0102X Vascular Neurology Physician

Psychiatry & Neurology, Vascular Neurology

()
7 363A00000X Physician Assistant

Physician Assistant

()
8 363L00000X Nurse Practitioner

Nurse Practitioner

()

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
0515955 MEDICAID (05) Ohio (OH)
100277310 MEDICAID (05) Indiana (IN)
268567100 MEDICAID (05) Florida (FL)
CC1548 Other (non-Medicare) (01) Indiana (IN) Railroad Medicare

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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.
1366433369
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126836312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23126836312
2 + 3 + 1 + 2 + 6 + 8 + 3 + 6 + 3 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1366433369 is valid because the calculated check digit 9 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
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1275536203 NOEL L JANSEN
Individual
Specialist 1815 N CAPITOL AVE
INDIANAPOLIS, Indiana (IN)
317-925-3533
1164425187 BRIAN T LAURSEN
Individual
Physician Assistant 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1275536211 GRETCHEN L CRAMPTON
Individual
Physician Assistant PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1063415297 PARK VIEW PSYCHIATRIC SERVICES, PSC
Organization
Social Worker, Clinical 510 SPRING ST
JEFFERSONVILLE, Indiana (IN)
812-282-1888