THADDEUS REX TOLLESON MD
NPI 1912992082
Internal Medicine, Cardiovascular Disease in Tyler,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 15, 2005

Contact Information

619 S Fleishel Ave
Tyler,
Post Code: 75701
Phone: (903) 595-5514
Fax: -

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Thaddeus Rex Tolleson Md in Tyler - Internal Medicine, Cardiovascular Disease

Thaddeus Rex Tolleson Md is a Internal Medicine, Cardiovascular Disease in Tyler, . Thaddeus Rex Tolleson Md practices all healthcare services and medical treatments related to Internal Medicine, Cardiovascular Disease. The NPI Number for Thaddeus Rex Tolleson Md is 1912992082. The last update date is 2017-04-26.

Thaddeus Rex Tolleson Md's current location address is 619 S Fleishel Ave, Tyler, . You can contact this provider via phone number (903) 595-5514 and fax number -. The mailing address for Thaddeus Rex Tolleson Md is 619 S Fleishel Ave, Tyler, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1912992082
Provider Name
THADDEUS REX TOLLESON MD
Gender
Male
Entity Type
Individual
Location Address
619 S Fleishel Ave, Tyler,
Location Phone
(903) 595-5514
Location Fax
-
Mailing Address
619 S Fleishel Ave, Tyler, Texas(TX)
Mailing Phone
903-595-5514
Mailing Fax
-
Enumeration Date
2005-09-15
Last Update Date
2017-04-26
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

Internal Medicine, Interventional Cardiology

Taxonomy Code
207RI0011X
Type
-
License No.
J6770
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 207RC0000X Cardiovascular Disease Physician

Internal Medicine, Cardiovascular Disease

J6770 (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
154221901 MEDICAID (05) Texas (TX)
221985502 Other (non-Medicare) (01) Texas (TX) UNITED HEALTHCARE
7773430 Other (non-Medicare) (01) Texas (TX) AETNA
8G7380 Other (non-Medicare) (01) Texas (TX) BCBS
8V5491 Other (non-Medicare) (01) Texas (TX) BCBS Trinity

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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.
1912992082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221894016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29221894016
2 + 9 + 2 + 2 + 1 + 8 + 9 + 4 + 0 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1912992082 is valid because the calculated check digit 2 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
1912991738 NORTHWEST ORTHOTICS & PROSTHETICS INC
Organization
Durable Medical Equipment & Medical Supplies 1675 N FREEDOM BLVD STE 12C
PROVO, Utah (UT)
801-377-3433
1912991621 EDWARD F COLES
Individual
Internal Medicine, Gastroenterology 1305 WONDER WORLD DR
SAN MARCOS, Texas (TX)
512-754-8676
1912991415 WILLIAM FAN
Individual
Optometrist 708 E 15TH ST STE A
PLANO, Texas (TX)
972-509-8555
1912991365 J A BIANCO
Individual
Surgery 2909 S HAMPTON RD
DALLAS, Texas (TX)
214-339-2153
1912991191 SELECT HEALTH CARE SERVICES, INC.
Organization
Home Health 1319 N PRUETT ST
BAYTOWN, Texas (TX)
281-428-2244