EAST TEXAS VASCULAR ASSOCIATES, P.A.
NPI 1750383386
Surgery in Tyler,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

700 Olympic Plaza Cir Ste 510
Tyler,
Post Code: 75701
Phone: (903) 595-2636
Fax: (903) 595-5560

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East Texas Vascular Associates, P.a. in Tyler - Surgery

East Texas Vascular Associates, P.a. is a Surgery in Tyler, . East Texas Vascular Associates, P.a. practices all healthcare services and medical treatments related to Surgery. The NPI Number for East Texas Vascular Associates, P.a. is 1750383386. The last update date is 2020-08-05.

East Texas Vascular Associates, P.a.'s current location address is 700 Olympic Plaza Cir Ste 510, Tyler, . You can contact this provider via phone number (903) 595-2636 and fax number (903) 595-5560. The mailing address for East Texas Vascular Associates, P.a. is 700 Olympic Plaza Cir Ste 510, Tyler, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1750383386
Provider Legal Name
EAST TEXAS VASCULAR ASSOCIATES, P.A.
Other Organization Name
EAST TEXAS VASCULAR ASSOCIATES, P.A.
Other Name Type
-
Entity Type
Organization
Location Address
700 Olympic Plaza Cir Ste 510, Tyler,
Location Phone
(903) 595-2636
Location Fax
(903) 595-5560
Mailing Address
700 Olympic Plaza Cir Ste 510, Tyler, Texas(TX)
Mailing Phone
903-595-2636
Mailing Fax
903-595-5560
Enumeration Date
2005-08-12
Last Update Date
2020-08-05
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.
D4981
License State
Texas (TX)
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 208600000X Surgery Physician

Surgery

L1987 (Texas)
2 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

D4981 (Texas)
3 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

K0862 (Texas)
4 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

H4385 (Texas)
5 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

L1987 (Texas)
6 208C00000X Colon & Rectal Surgery Physician

Colon & Rectal Surgery

H4385 (Texas)
7 208600000X Surgery Physician

Surgery

K0862 (Texas)
8 208600000X Surgery Physician

Surgery

H4385 (Texas)

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
085672601 MEDICAID (05) Texas (TX)
========= Other (non-Medicare) (01) Texas (TX) FEIN

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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.
1750383386
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100686316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 27100686316
2 + 7 + 1 + 0 + 0 + 6 + 8 + 6 + 3 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1750383386 is valid because the calculated check digit 6 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
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1669475711 BIN SHENG SUNG
Individual
Pediatrics 7629 TIKI DR
FULSHEAR, Texas (TX)
281-346-0018
1396748349 GEORGE M GRUNERT
Individual
Obstetrics & Gynecology, Reproductive Endocrinology 7900 FANNIN ST STE 4000
HOUSTON, Texas (TX)
713-512-7900
1619970662 LISA AMY FRIEDMAN
Individual
Nurse Practitioner, Pediatrics 333 N SANTA ROSA
SAN ANTONIO, Texas (TX)
210-704-2190
1598768541 BERTHA E. ARENAS
Individual
Nurse Practitioner, Family 1702 N ALAMO ST
SAN ANTONIO, Texas (TX)
210-224-1823