CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
NPI 1699778829
Neurological Surgery in Altoona,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

1200 Oakleaf Way
Altoona,
Post Code: 54720
Phone: (715) 832-1400
Fax: (715) 832-4187

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Chippewa Valley Orthopedics And Sports Medicine Clinic Sc in Altoona - Neurological Surgery

Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is a Neurological Surgery in Altoona, . Chippewa Valley Orthopedics And Sports Medicine Clinic Sc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is 1699778829. The last update date is 2024-07-29.

Chippewa Valley Orthopedics And Sports Medicine Clinic Sc's current location address is 1200 Oakleaf Way, Altoona, . You can contact this provider via phone number (715) 832-1400 and fax number (715) 832-4187. The mailing address for Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is 1200 Oakleaf Way, Altoona, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1699778829
Provider Legal Name
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Other Organization Name
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Other Name Type
-
Entity Type
Organization
Location Address
1200 Oakleaf Way, Altoona,
Location Phone
(715) 832-1400
Location Fax
(715) 832-4187
Mailing Address
1200 Oakleaf Way, Altoona, Wisconsin(WI)
Mailing Phone
715-832-1400
Mailing Fax
715-832-4187
Enumeration Date
2005-05-23
Last Update Date
2024-07-29
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

Orthopaedic Surgery

Taxonomy Code
207X00000X
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 207T00000X Neurological Surgery Physician

Neurological Surgery

()
2 208VP0014X Interventional Pain Medicine Physician

Pain Medicine, Interventional Pain Medicine

54216 (Wisconsin)
3 213ES0103X Foot & Ankle Surgery Podiatrist

Podiatrist, Foot & Ankle Surgery

()
4 261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center

Clinic/Center, Magnetic Resonance Imaging (MRI)

()
5 261QP2000X Physical Therapy Clinic/Center

Clinic/Center, Physical Therapy

()
6 332B00000X Durable Medical Equipment & Medical Supplies

Durable Medical Equipment & Medical Supplies

(Wisconsin)
7 363A00000X Physician Assistant

Physician Assistant

()

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
100249466 MEDICAID (05) Wisconsin (WI)
100272795 MEDICAID (05) Wisconsin (WI)
21278700 MEDICAID (05) Wisconsin (WI)
220399400 Other (non-Medicare) (01) Wisconsin (WI) OWCP
2416091 Other (non-Medicare) (01) Wisconsin (WI) United Healthcare
41741700 MEDICAID (05) Wisconsin (WI)
542R9CH Other (non-Medicare) (01) Wisconsin (WI) BCBS of MN
========= Other (non-Medicare) (01) Wisconsin (WI) Blue Cross Blue Shield

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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.
1699778829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891471684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 261891471684
2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 1 + 6 + 8 + 4 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 9 9

The NPI number 1699778829 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
1053314070 GEORGE ANDREW BOUSH
Individual
Ophthalmology 123 HOSPITAL DR
WATERTOWN, Wisconsin (WI)
920-261-8225
1508869520 KATHLEEN MARY HAASCH
Individual
Audiologist 1442 N 31ST ST
SHEBOYGAN, Wisconsin (WI)
920-458-3277
1245233287 KRISTIE LYNN GERING
Individual
Family Medicine 2829 COUNTY HIGHWAY I
CHIPPEWA FALLS, Wisconsin (WI)
715-860-2300
1053314252 HOSPICE ALLIANCE, INC.
ALLIANCE HOMECARE
Organization
Home Health 10220 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, Wisconsin (WI)
262-652-4400
1255334421 MARK WILLIAM CONRADT
Individual
Audiologist 5195 KILLDEER LN
OSHKOSH, Wisconsin (WI)
920-729-2085