JEFFERY W MOORE CRNA
NPI 1801870480
Anesthesiologist Assistant in Tipton,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 6, 2005

Contact Information

1000 S Main St
Tipton,
Post Code: 46072
Phone: (765) 675-8521
Fax: (765) 675-8520

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Jeffery W Moore Crna in Tipton - Anesthesiologist Assistant

Jeffery W Moore Crna is a Anesthesiologist Assistant in Tipton, . Jeffery W Moore Crna practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Jeffery W Moore Crna is 1801870480. The last update date is 2014-10-01.

Jeffery W Moore Crna's current location address is 1000 S Main St, Tipton, . You can contact this provider via phone number (765) 675-8521 and fax number (765) 675-8520. The mailing address for Jeffery W Moore Crna is 1000 S Main St, Tipton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1801870480
Provider Name
JEFFERY W MOORE CRNA
Gender
Male
Entity Type
Individual
Location Address
1000 S Main St, Tipton,
Location Phone
(765) 675-8521
Location Fax
(765) 675-8520
Mailing Address
1000 S Main St, Tipton, Indiana(IN)
Mailing Phone
765-675-8521
Mailing Fax
765-675-8520
Enumeration Date
2005-12-06
Last Update Date
2014-10-01
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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
-
License No.
28087122A
License State
Indiana (IN)
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 367H00000X Anesthesiologist Assistant

Anesthesiologist Assistant

28087122 (Indiana)

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
000000603596 Other (non-Medicare) (01) Indiana (IN) Anthem - Tipton Hospital
200345230 MEDICAID (05) Indiana (IN)
200345230A MEDICAID (05) Indiana (IN)

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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.
1801870480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28011670416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 28011670416
2 + 8 + 0 + 1 + 1 + 6 + 7 + 0 + 4 + 1 + 6 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1801870480 is valid because the calculated check digit 0 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
1497758429 FORT WAYNE ORTHOPAEDICS LLC
Organization
Orthopaedic Surgery, Hand Surgery PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1487657417 DANIEL W CAREY
Individual
Social Worker, Clinical 850 N HARRISON ST
WARSAW, Indiana (IN)
574-267-7169
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1437152469 STEVEN E FISHER
Individual
Orthopaedic Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331