RUSSELL CARL WILSON P.A.-C, A.T.C.
NPI 1780675967
Emergency Medical Technician, Paramedic in Allen,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 4, 2005

Contact Information

1125 Raintree Cir Ste 100
Allen,
Post Code: 75013
Phone: (972) 727-9995
Fax: (972) 727-8350

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Russell Carl Wilson P.a.-c, A.t.c. in Allen - Emergency Medical Technician, Paramedic

Russell Carl Wilson P.a.-c, A.t.c. is a Emergency Medical Technician, Paramedic in Allen, . Russell Carl Wilson P.a.-c, A.t.c. practices all healthcare services and medical treatments related to Emergency Medical Technician, Paramedic. The NPI Number for Russell Carl Wilson P.a.-c, A.t.c. is 1780675967. The last update date is 2022-09-20.

Russell Carl Wilson P.a.-c, A.t.c.'s current location address is 1125 Raintree Cir Ste 100, Allen, . You can contact this provider via phone number (972) 727-9995 and fax number (972) 727-8350. The mailing address for Russell Carl Wilson P.a.-c, A.t.c. is 1125 Raintree Cir Ste 100, Allen, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1780675967
Provider Name
RUSSELL CARL WILSON P.A.-C, A.T.C.
Gender
Male
Entity Type
Individual
Location Address
1125 Raintree Cir Ste 100, Allen,
Location Phone
(972) 727-9995
Location Fax
(972) 727-8350
Mailing Address
1125 Raintree Cir Ste 100, Allen, Texas(TX)
Mailing Phone
972-727-9995
Mailing Fax
972-727-8350
Enumeration Date
2005-11-04
Last Update Date
2022-09-20
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA06802
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 146L00000X Paramedic

Emergency Medical Technician, Paramedic

45448 (Texas)
2 2255A2300X Athletic Trainer

Specialist/Technologist, Athletic Trainer

020202111 (Nebraska)
3 363A00000X Physician Assistant

Physician Assistant

PA.0005767 (Colorado)
4 363A00000X Physician Assistant

Physician Assistant

1092900 (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
360930704 MEDICAID (05) Texas (TX)
8029NH Other (non-Medicare) (01) Texas (TX) BCBSTX

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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.
1780675967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716012710912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2716012710912
2 + 7 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 0 + 9 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1780675967 is valid because the calculated check digit 7 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
1750384806 ROBERT BISBEE
Individual
Internal Medicine 5219 CITY BANK PKWY STE 214
LUBBOCK, Texas (TX)
806-781-0360
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