TRIDENTCARE
NPI 1700865094
Clinic/center, Radiology, Mobile in Sparks,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 13, 2006

Contact Information

930 Ridgebrook Rd
Sparks,
Post Code: 21152
Phone: (800) 786-8015
Fax: (443) 662-4230

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Tridentcare in Sparks - Clinic/Center, Radiology, Mobile

Tridentcare is a Clinic/Center, Radiology, Mobile in Sparks, . Tridentcare practices all healthcare services and medical treatments related to Clinic/Center, Radiology, Mobile. The NPI Number for Tridentcare is 1700865094. The last update date is 2024-04-19.

Tridentcare's current location address is 930 Ridgebrook Rd, Sparks, . You can contact this provider via phone number (800) 786-8015 and fax number (443) 662-4230. The mailing address for Tridentcare is 930 Ridgebrook Rd, Sparks, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1700865094
Provider Legal Name
SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC
Other Organization Name
TRIDENTCARE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
930 Ridgebrook Rd, Sparks,
Location Phone
(800) 786-8015
Location Fax
(443) 662-4230
Mailing Address
930 Ridgebrook Rd, Sparks, Maryland(MD)
Mailing Phone
800-786-8015
Mailing Fax
443-662-4230
Enumeration Date
2006-01-13
Last Update Date
2024-04-19
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

Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
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 261QR0208X Mobile Radiology Clinic/Center

Clinic/Center, Radiology, Mobile

()

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
001485908-0006 MEDICAID (05) Pennsylvania (PA)
00320-5515A MEDICAID (05) Georgia (GA)
004222098 MEDICAID (05) Connecticut (CT)
03106321 MEDICAID (05) Mississippi (MS)
03373273 MEDICAID (05) New York (NY)
034072900 MEDICAID (05) District Of Columbia (DC)
086063701 MEDICAID (05) Texas (TX)
0896268 MEDICAID (05) Ohio (OH)
095566 MEDICAID (05) Arizona (AZ)
100121370A MEDICAID (05) Indiana (IN)
100365530A MEDICAID (05) Kansas (KS)
1006117 MEDICAID (05) Vermont (VT)
100836640C MEDICAID (05) Oklahoma (OK)
100968 MEDICAID (05) Alabama (AL)
1013217769 MEDICAID (05) Idaho (ID)
110029440/A MEDICAID (05) Massachusetts (MA)
1519090 MEDICAID (05) Tennessee (TN)
1700865094 MEDICAID (05) Michigan (MI)
1700865094 MEDICAID (05) Minnesota (MN)
1700865094 MEDICAID (05) Iowa (IA)
19423000 MEDICAID (05) Maine (ME)
2374656 MEDICAID (05) Louisiana (LA)
25069365 MEDICAID (05) Delaware (DE)
3085730 MEDICAID (05) New Hampshire (NH)
3419804 MEDICAID (05) North Carolina (NC)
3910006821 MEDICAID (05) West Virginia (WV)
415092900 MEDICAID (05) Maryland (MD)
42506100 MEDICAID (05) Wisconsin (WI)
4980867 MEDICAID (05) Virginia (VA)
498152 MEDICAID (05) South Carolina (SC)
510055100 MEDICAID (05) Florida (FL)
711934307 MEDICAID (05) Missouri (MO)
7519206 MEDICAID (05) New Jersey (NJ)
86000247 MEDICAID (05) Kentucky (KY)
9000189649 MEDICAID (05) Colorado (CO)
9419801 MEDICAID (05) Rhode Island (RI)
========= MEDICAID (05) Nebraska (NE)
========= MEDICAID (05) Illinois (IL)
B7883 MEDICAID (05) New Mexico (NM)

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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.
1700865094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270016610018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 270016610018
2 + 7 + 0 + 0 + 1 + 6 + 6 + 1 + 0 + 0 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1700865094 is valid because the calculated check digit 4 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
1568465516 RAWN SALENGER
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) 7505 OSLER DR
TOWSON, Maryland (MD)
410-337-1783
1306849351 WESTERN MD PET IMAGING LLC
Organization
Specialist 952 SETON DR
CUMBERLAND, Maryland (MD)
301-777-3522
1265435291 HOWARD ANTHONY GILMER
Individual
Physical Medicine & Rehabilitation 5933 SERENITY LN
DERWOOD, Maryland (MD)
301-294-6852
1083617021 SUSAN L BEHEN
Individual
Surgery 900 CATON AVE
BALTIMORE, Maryland (MD)
410-368-2700
1518960558 MARK JAMESON
Individual
Preventive Medicine, Public Health & General Preventive Medicine 1302 PENNSYLVANIA AVE
HAGERSTOWN, Maryland (MD)
240-313-3200