JEFFREY LEIGH WALLACE MD
NPI 1548262108
Preventive Medicine, Undersea And Hyperbaric Medicine in Fairhope,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

104 Pinetop Circle
Fairhope,
Post Code: 36532
Phone: (251) 725-2050
Fax: -

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Jeffrey Leigh Wallace Md in Fairhope - Preventive Medicine, Undersea and Hyperbaric Medicine

Jeffrey Leigh Wallace Md is a Preventive Medicine, Undersea and Hyperbaric Medicine in Fairhope, . Jeffrey Leigh Wallace Md practices all healthcare services and medical treatments related to Preventive Medicine, Undersea and Hyperbaric Medicine. The NPI Number for Jeffrey Leigh Wallace Md is 1548262108. The last update date is 2016-10-10.

Jeffrey Leigh Wallace Md's current location address is 104 Pinetop Circle, Fairhope, . You can contact this provider via phone number (251) 725-2050 and fax number -. The mailing address for Jeffrey Leigh Wallace Md is 104 Pinetop Circle, Fairhope, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1548262108
Provider Name
JEFFREY LEIGH WALLACE MD
Gender
Male
Entity Type
Individual
Location Address
104 Pinetop Circle, Fairhope,
Location Phone
(251) 725-2050
Location Fax
-
Mailing Address
411 N Section St, Fairhope, Alabama(AL)
Mailing Phone
251-928-9090
Mailing Fax
251-990-0520
Enumeration Date
2005-08-12
Last Update Date
2016-10-10
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

Surgery

Taxonomy Code
208600000X
Type
-
License No.
29105
License State
Alabama (AL)
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 2083P0011X Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

Preventive Medicine, Undersea and Hyperbaric Medicine

29105 (Alabama)
2 208D00000X General Practice Physician

General Practice

MD29105 (Alabama)

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
1407812001 MEDICAID (05) Alabama (AL)
1548262108 MEDICAID (05) Alabama (AL)
3-187746 MEDICAID (05) Tennessee (TN)

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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.
1548262108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258846410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 258846410
2 + 5 + 8 + 8 + 4 + 6 + 4 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1548262108 is valid because the calculated check digit 8 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
1437152626 BREWER MEDICAL SERVICES INC
Organization
Durable Medical Equipment & Medical Supplies 2724 N JACKSON HWY
SHEFFIELD, Alabama (AL)
256-389-9393
1306849575 SHAWN B CLARK
Individual
Neurological Surgery 6701 AIRPORT BLVD STE D146
MOBILE, Alabama (AL)
251-287-2176
1407859531 MELANIE D SIVLEY
Individual
Optometrist 1716 UNIVERSITY BLVD
BIRMINGHAM, Alabama (AL)
205-975-2020
1164425310 CONSTANCE COLLINS DABEZIES
Individual
Obstetrics & Gynecology 1601 CENTER ST
MOBILE, Alabama (AL)
251-415-1496
1265435382 KITTI K OUTLAW
Individual
Surgery, Plastic and Reconstructive Surgery 3715 DAUPHIN ST STE 6A
MOBILE, Alabama (AL)
251-414-1333