STEVEN JAY GOULDER MD
NPI 1770560831
Dermatology, Mohs-micrographic Surgery in Hinsdale,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 29, 2005

Contact Information

500 E Ogden Ave
Hinsdale,
Post Code: 60521
Phone: (630) 325-6647
Fax: (630) 325-4500

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Steven Jay Goulder Md in Hinsdale - Dermatology, MOHS-Micrographic Surgery

Steven Jay Goulder Md is a Dermatology, MOHS-Micrographic Surgery in Hinsdale, . Steven Jay Goulder Md practices all healthcare services and medical treatments related to Dermatology, MOHS-Micrographic Surgery. The NPI Number for Steven Jay Goulder Md is 1770560831. The last update date is 2012-09-12.

Steven Jay Goulder Md's current location address is 500 E Ogden Ave, Hinsdale, . You can contact this provider via phone number (630) 325-6647 and fax number (630) 325-4500. The mailing address for Steven Jay Goulder Md is 500 E Ogden Ave, Hinsdale, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1770560831
Provider Name
STEVEN JAY GOULDER MD
Gender
Male
Entity Type
Individual
Location Address
500 E Ogden Ave, Hinsdale,
Location Phone
(630) 325-6647
Location Fax
(630) 325-4500
Mailing Address
500 E Ogden Ave, Hinsdale, Illinois(IL)
Mailing Phone
630-325-6647
Mailing Fax
630-325-4500
Enumeration Date
2005-12-29
Last Update Date
2012-09-12
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

Dermatology, MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
-
License No.
036-108689
License State
Illinois (IL)
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 207NS0135X Procedural Dermatology Physician

Dermatology, Procedural Dermatology

036-108689 (Illinois)

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
36108689 MEDICAID (05) Illinois (IL)
K09943 Other (non-Medicare) (01) Illinois (IL) Medicare

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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.
1770560831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140106086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 27140106086
2 + 7 + 1 + 4 + 0 + 1 + 0 + 6 + 0 + 8 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1770560831 is valid because the calculated check digit 1 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
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Organization
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815-467-1905
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Organization
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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
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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