ALEX ETIENNE MD
NPI 1447221866
Internal Medicine in Providence,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

825 Chalkstone Ave
Providence,
Post Code: 02908
Phone: (401) 456-2363
Fax: (401) 456-6744

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Alex Etienne Md in Providence - Internal Medicine

Alex Etienne Md is a Internal Medicine in Providence, . Alex Etienne Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alex Etienne Md is 1447221866. The last update date is 2012-03-13.

Alex Etienne Md's current location address is 825 Chalkstone Ave, Providence, . You can contact this provider via phone number (401) 456-2363 and fax number (401) 456-6744. The mailing address for Alex Etienne Md is 825 Chalkstone Ave, Providence, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1447221866
Provider Name
ALEX ETIENNE MD
Gender
Male
Entity Type
Individual
Location Address
825 Chalkstone Ave, Providence,
Location Phone
(401) 456-2363
Location Fax
(401) 456-6744
Mailing Address
825 Chalkstone Ave, Providence, Rhode Island(RI)
Mailing Phone
401-456-2363
Mailing Fax
401-456-6744
Enumeration Date
2006-02-01
Last Update Date
2012-03-13
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

Internal Medicine, Addiction Medicine

Taxonomy Code
207RA0401X
Type
-
License No.
MD11719
License State
Rhode Island (RI)
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 207R00000X Internal Medicine Physician

Internal Medicine

MD11719 (Rhode Island)
2 208M00000X Hospitalist Physician

Hospitalist

MD11719 (Rhode Island)

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
29918 Other (non-Medicare) (01) Rhode Island (RI) BLUE CROSS OF RI
412896 Other (non-Medicare) (01) Rhode Island (RI) BLUE CHIP OF RI
7058051 MEDICAID (05) Rhode Island (RI)

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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.
1447221866
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487422812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2487422812
2 + 4 + 8 + 7 + 4 + 2 + 2 + 8 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1447221866 is valid because the calculated check digit 6 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
1154324101 GATEWAY HEALTHCARE, INC
Organization
Case Management 249 ROOSEVELT AVE
PAWTUCKET, Rhode Island (RI)
401-724-8400
1245233261 JACK D GOLDSTEIN
Individual
Orthopaedic Surgery 400 MASSASOIT AVE
E PROVIDENCE, Rhode Island (RI)
401-919-5222
1407859515 MATTHEW ROBERT CARL
Individual
Physical Therapist 28 NOOSENECK HILL RD
WEST GREENWICH, Rhode Island (RI)
401-385-9530
1346243490 LIFE CARE AT HOME OF RHODE ISLAND, INC.
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1336142165 ARROWHEAD DENTAL ASSOCIATES
Organization
Dentist, General Practice 4995 S COUNTY TRL
CHARLESTOWN, Rhode Island (RI)
401-364-6300