THEODORE T WAGNER MD
NPI 1831162791
Urology in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

11141 Parkview Plaza Dr Ste 325
Fort Wayne,
Post Code: 46845
Phone: (260) 425-5400
Fax: (260) 425-5417

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Theodore T Wagner Md in Fort Wayne - Urology

Theodore T Wagner Md is a Urology in Fort Wayne, . Theodore T Wagner Md practices all healthcare services and medical treatments related to Urology. The NPI Number for Theodore T Wagner Md is 1831162791. The last update date is 2023-03-21.

Theodore T Wagner Md's current location address is 11141 Parkview Plaza Dr Ste 325, Fort Wayne, . You can contact this provider via phone number (260) 425-5400 and fax number (260) 425-5417. The mailing address for Theodore T Wagner Md is 11141 Parkview Plaza Dr Ste 325, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1831162791
Provider Name
THEODORE T WAGNER MD
Gender
Male
Entity Type
Individual
Location Address
11141 Parkview Plaza Dr Ste 325, Fort Wayne,
Location Phone
(260) 425-5400
Location Fax
(260) 425-5417
Mailing Address
11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana(IN)
Mailing Phone
Mailing Fax
-
Enumeration Date
2006-02-10
Last Update Date
2023-03-21
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

Urology

Taxonomy Code
208800000X
Type
-
License No.
01050471A
License State
Indiana (IN)
Taxonomy Description
-

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
000000087512 Other (non-Medicare) (01) Indiana (IN) Anthem BC/BS
0748972 MEDICAID (05) Ohio (OH)
100081380 MEDICAID (05) Indiana (IN)
200245650 MEDICAID (05) Indiana (IN)
2568556 MEDICAID (05) Ohio (OH)

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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.
1831162791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861264718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2861264718
2 + 8 + 6 + 1 + 2 + 6 + 4 + 7 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1831162791 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
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