SU FAIRCHILD MD
NPI 1861488074
Family Medicine, Addiction Medicine in Centreville,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 22, 2005

Contact Information

6138 Redwood Square Ctr Ste 204
Centreville,
Post Code: 20121
Phone: (703) 229-5453
Fax: -

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Su Fairchild Md in Centreville - Family Medicine, Addiction Medicine

Su Fairchild Md is a Family Medicine, Addiction Medicine in Centreville, . Su Fairchild Md practices all healthcare services and medical treatments related to Family Medicine, Addiction Medicine. The NPI Number for Su Fairchild Md is 1861488074. The last update date is 2019-10-10.

Su Fairchild Md's current location address is 6138 Redwood Square Ctr Ste 204, Centreville, . You can contact this provider via phone number (703) 229-5453 and fax number -. The mailing address for Su Fairchild Md is 6138 Redwood Square Ctr Ste 204, Centreville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1861488074
Provider Name
SU FAIRCHILD MD
Gender
Female
Entity Type
Individual
Location Address
6138 Redwood Square Ctr Ste 204, Centreville,
Location Phone
(703) 229-5453
Location Fax
-
Mailing Address
Po Box 974, Bloomsburg, Pennsylvania(PA)
Mailing Phone
703-828-4485
Mailing Fax
888-414-5264
Enumeration Date
2005-09-22
Last Update Date
2019-10-10
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
MD069929L
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 207QA0401X Addiction Medicine (Family Medicine) Physician

Family Medicine, Addiction Medicine

MD069929L (Pennsylvania)
2 207QA0401X Addiction Medicine (Family Medicine) Physician

Family Medicine, Addiction Medicine

0101250992 (Virginia)
3 207QA0505X Adult Medicine Physician

Family Medicine, Adult Medicine

0101250992 (Virginia)

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
001122151 MEDICAID (05) Pennsylvania (PA)

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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.
1861488074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281218816014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 281218816014
2 + 8 + 1 + 2 + 1 + 8 + 8 + 1 + 6 + 0 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1861488074 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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