CHARLES J. MALLO M.D.
NPI 1558333492
Specialist in Oak Ridge,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 5, 2006

Contact Information

988 Oak Ridge Tpke
Oak Ridge,
Post Code: 37830
Phone: (865) 483-7030
Fax: (865) 483-3954

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Charles J. Mallo M.d. in Oak Ridge - Specialist

Charles J. Mallo M.d. is a Specialist in Oak Ridge, . Charles J. Mallo M.d. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles J. Mallo M.d. is 1558333492. The last update date is 2014-05-29.

Charles J. Mallo M.d.'s current location address is 988 Oak Ridge Tpke, Oak Ridge, . You can contact this provider via phone number (865) 483-7030 and fax number (865) 483-3954. The mailing address for Charles J. Mallo M.d. is 988 Oak Ridge Tpke, Oak Ridge, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1558333492
Provider Name
CHARLES J. MALLO M.D.
Gender
Male
Entity Type
Individual
Location Address
988 Oak Ridge Tpke, Oak Ridge,
Location Phone
(865) 483-7030
Location Fax
(865) 483-3954
Mailing Address
988 Oak Ridge Tpke, Oak Ridge, Tennessee(TN)
Mailing Phone
865-483-7030
Mailing Fax
865-483-3954
Enumeration Date
2006-02-05
Last Update Date
2014-05-29
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, Vascular Surgery

Taxonomy Code
2086S0129X
Type
-
License No.
49148
License State
Tennessee (TN)
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 174400000X Specialist

Specialist

132331-1 (New York)
2 208600000X Surgery Physician

Surgery

132331 (New York)
3 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

132331 (New York)

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
00593242 MEDICAID (05) New York (NY)

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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.
1558333492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108636418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 25108636418
2 + 5 + 1 + 0 + 8 + 6 + 3 + 6 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1558333492 is valid because the calculated check digit 2 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
1558333435 TAMMY H ADAMS
Individual
Pediatrics 1272 GARRISON DR
MURFREESBORO, Tennessee (TN)
615-893-4480
1558333062 JOHN SCOTT MCCULLOUGH
Individual
Pathology, Anatomic Pathology & Clinical Pathology 1771 MADISON ST
CLARKSVILLE, Tennessee (TN)
931-551-1939
1558331033 DAVID E THOMPSON
Individual
Internal Medicine 999 EXECUTIVE PARK BLVD
KINGSPORT, Tennessee (TN)
423-224-3250
1548269517 SHELLEY F HOOD
Individual
Nurse Anesthetist, Certified Registered 8010 STAGE HILLS BLVD
BARTLETT, Tennessee (TN)
901-291-2427
1548269236 KAREN RENE GANNON
Individual
Psychologist, Clinical 9031 CROSS PARK DR
KNOXVILLE, Tennessee (TN)
865-545-4592