MARY AMANDA JACOBS M.D.
NPI 1811973894
Dermatology in State College,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 21, 2005

Contact Information

200 Scenery Dr.
State College,
Post Code: 16801
Phone: (814) 231-4560
Fax: (814) 231-6246

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Mary Amanda Jacobs M.d. in State College - Dermatology

Mary Amanda Jacobs M.d. is a Dermatology in State College, . Mary Amanda Jacobs M.d. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mary Amanda Jacobs M.d. is 1811973894. The last update date is 2020-08-05.

Mary Amanda Jacobs M.d.'s current location address is 200 Scenery Dr., State College, . You can contact this provider via phone number (814) 231-4560 and fax number (814) 231-6246. The mailing address for Mary Amanda Jacobs M.d. is 200 Scenery Dr., State College, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1811973894
Provider Name
MARY AMANDA JACOBS M.D.
Gender
Female
Entity Type
Individual
Location Address
200 Scenery Dr., State College,
Location Phone
(814) 231-4560
Location Fax
(814) 231-6246
Mailing Address
100 N Academy Ave, Danville, Pennsylvania(PA)
Mailing Phone
570-271-6144
Mailing Fax
570-271-6578
Enumeration Date
2005-12-21
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

Dermatology, MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
-
License No.
MD437386
License State
Pennsylvania (PA)
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 207N00000X Dermatology Physician

Dermatology

46763 (Minnesota)

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
102337081 MEDICAID (05) Pennsylvania (PA)
35163500 MEDICAID (05) Wisconsin (WI)
699485700 MEDICAID (05) Minnesota (MN)
ENROLLED MEDICAID (05) Iowa (IA)
P00333407 Other (non-Medicare) (01) Minnesota (MN) Railroad 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.
1811973894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211876818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 28211876818
2 + 8 + 2 + 1 + 1 + 8 + 7 + 6 + 8 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 4 4

The NPI number 1811973894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

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