ABIGAIL R BOETTICHER M.D.
NPI 1730152034
Psychiatry & Neurology, Neurology With Special Qualifications In Child Neurology in Minneapolis,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 8, 2006

Contact Information

2828 Chicago Ave South
Minneapolis,
Post Code: 55407
Phone: (612) 879-1000
Fax: (612) 879-9116

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Abigail R Boetticher M.d. in Minneapolis - Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology

Abigail R Boetticher M.d. is a Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Minneapolis, . Abigail R Boetticher M.d. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology. The NPI Number for Abigail R Boetticher M.d. is 1730152034. The last update date is 2019-10-07.

Abigail R Boetticher M.d.'s current location address is 2828 Chicago Ave South, Minneapolis, . You can contact this provider via phone number (612) 879-1000 and fax number (612) 879-9116. The mailing address for Abigail R Boetticher M.d. is 2828 Chicago Ave South, Minneapolis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1730152034
Provider Name
ABIGAIL R BOETTICHER M.D.
Gender
Female
Entity Type
Individual
Location Address
2828 Chicago Ave South, Minneapolis,
Location Phone
(612) 879-1000
Location Fax
(612) 879-9116
Mailing Address
2828 Chicago Ave South, Minneapolis, Minnesota(MN)
Mailing Phone
612-879-1000
Mailing Fax
612-879-9116
Enumeration Date
2006-02-08
Last Update Date
2019-10-07
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

Psychiatry & Neurology, Neurology

Taxonomy Code
2084N0400X
Type
-
License No.
46169
License State
Minnesota (MN)
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 2084N0402X Neurology with Special Qualifications in Child Neurology Physician

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology

46169 (Minnesota)

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
871425800 MEDICAID (05) Minnesota (MN)

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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.
1730152034
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276025406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 276025406
2 + 7 + 6 + 0 + 2 + 5 + 4 + 0 + 6 + 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 1730152034 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
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1629071675 ALEX SNEIDERS
Individual
Specialist 300 STATE AVE
FARIBAULT, Minnesota (MN)
507-333-3200
1669475604 BIOSCRIP PHARMACY, INC.
BIOSCRIP PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 10050 CROSSTOWN CIR
EDEN PRAIRIE, Minnesota (MN)
800-753-5995
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939