MATTHEW MARK JOHNSON MS, ATC, CSCS
NPI 1770556128
Specialist/technologist, Athletic Trainer in La Grange Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 8, 2006

Contact Information

442 N Kensington Ave
La Grange Park,
Post Code: 60526
Phone: (617) 680-1863
Fax: -

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Matthew Mark Johnson Ms, Atc, Cscs in La Grange Park - Specialist/Technologist, Athletic Trainer

Matthew Mark Johnson Ms, Atc, Cscs is a Specialist/Technologist, Athletic Trainer in La Grange Park, . Matthew Mark Johnson Ms, Atc, Cscs practices all healthcare services and medical treatments related to Specialist/Technologist, Athletic Trainer. The NPI Number for Matthew Mark Johnson Ms, Atc, Cscs is 1770556128. The last update date is 2007-07-08.

Matthew Mark Johnson Ms, Atc, Cscs's current location address is 442 N Kensington Ave, La Grange Park, . You can contact this provider via phone number (617) 680-1863 and fax number -. The mailing address for Matthew Mark Johnson Ms, Atc, Cscs is 442 N Kensington Ave, La Grange Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1770556128
Provider Name
MATTHEW MARK JOHNSON MS, ATC, CSCS
Gender
Male
Entity Type
Individual
Location Address
442 N Kensington Ave, La Grange Park,
Location Phone
(617) 680-1863
Location Fax
-
Mailing Address
160 E 6th Pl, Mesa, Arizona(AZ)
Mailing Phone
480-668-4565
Mailing Fax
480-668-4546
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
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

Specialist/Technologist, Athletic Trainer

Taxonomy Code
2255A2300X
Type
-
License No.
0338
License State
Arizona (AZ)
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 2255A2300X Athletic Trainer

Specialist/Technologist, Athletic Trainer

096-002089 (Illinois)
2 2255A2300X Athletic Trainer

Specialist/Technologist, Athletic Trainer

AT-214 (Idaho)

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

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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.
1770556128
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401051214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 271401051214
2 + 7 + 1 + 4 + 0 + 1 + 0 + 5 + 1 + 2 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1770556128 is valid because the calculated check digit 8 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
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1487657433 PEKIN MRI, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1538162565 SONYA R SCHLEEPER
Individual
Family Medicine 270 MAPLE SUMMIT RD
JERSEYVILLE, Illinois (IL)
618-498-7108
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339