RUSSELL L DERRICK MD
NPI 1457337941
Radiology, Neuroradiology in Myrtle Beach,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 16, 2005

Contact Information

Po Box 51030
Myrtle Beach,
Post Code: 29579
Phone: (843) 238-8660
Fax: -

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Russell L Derrick Md in Myrtle Beach - Radiology, Neuroradiology

Russell L Derrick Md is a Radiology, Neuroradiology in Myrtle Beach, . Russell L Derrick Md practices all healthcare services and medical treatments related to Radiology, Neuroradiology. The NPI Number for Russell L Derrick Md is 1457337941. The last update date is 2013-11-22.

Russell L Derrick Md's current location address is Po Box 51030, Myrtle Beach, . You can contact this provider via phone number (843) 238-8660 and fax number -. The mailing address for Russell L Derrick Md is Po Box 51030, Myrtle Beach, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1457337941
Provider Name
RUSSELL L DERRICK MD
Gender
Male
Entity Type
Individual
Location Address
Po Box 51030, Myrtle Beach,
Location Phone
(843) 238-8660
Location Fax
-
Mailing Address
300 Singleton Ridge Rd, Conway, South Carolina(SC)
Mailing Phone
843-238-8660
Mailing Fax
-
Enumeration Date
2005-12-16
Last Update Date
2013-11-22
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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
19383
License State
South Carolina (SC)
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 2085N0700X Neuroradiology Physician

Radiology, Neuroradiology

19383 (South Carolina)
2 2085B0100X Body Imaging Physician

Radiology, Body Imaging

19383 (South Carolina)
3 2085D0003X Diagnostic Neuroimaging (Radiology) Physician

Radiology, Diagnostic Neuroimaging

19383 (South Carolina)
4 2085U0001X Diagnostic Ultrasound Physician

Radiology, Diagnostic Ultrasound

19383 (South Carolina)
5 2085R0204X Vascular & Interventional Radiology Physician

Radiology, Vascular & Interventional Radiology

19383 (South Carolina)
6 2085N0904X Nuclear Radiology Physician

Radiology, Nuclear Radiology

19383 (South Carolina)
7 2085P0229X Pediatric Radiology Physician

Radiology, Pediatric Radiology

19383 (South Carolina)
8 2085R0001X Radiation Oncology Physician

Radiology, Radiation Oncology

19383 (South Carolina)
9 2085R0205X Radiological Physics Physician

Radiology, Radiological Physics

19383 (South Carolina)
10 2085R0203X Therapeutic Radiology Physician

Radiology, Therapeutic Radiology

19383 (South Carolina)
11 207U00000X Nuclear Medicine Physician

Nuclear Medicine

19383 (South 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

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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.
1457337941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107631498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24107631498
2 + 4 + 1 + 0 + 7 + 6 + 3 + 1 + 4 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1457337941 is valid because the calculated check digit 1 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
1417950627 ERIC THOMAS PRIDE
Individual
Internal Medicine, Nephrology 3815 FABER PLACE DR
NORTH CHARLESTON, South Carolina (SC)
843-767-9312
1194728386 ANDREW JOSEPH KASIC
Individual
Chiropractor 1430 EBENEZER RD
ROCK HILL, South Carolina (SC)
803-366-8600
1184627317 JAMES M WILSON
Individual
Specialist 744 ARDEN LN
ROCK HILL, South Carolina (SC)
803-329-1660
1154324374 EDWARD WILLIAM TRUDO
Individual
Ophthalmology 109 BEE ST
CHARLESTON, South Carolina (SC)
843-577-5011
1407859614 HAROLD BRUCE BELL
Individual
Optometrist 518 - 200 COLLEGE AVENUE
CLEMSON, South Carolina (SC)
864-654-7980