ICHABOD LAFAYETTE BALKCOM M.D.
NPI 1922001817
Family Medicine in Tyler,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2005

Contact Information

10481 Hwy 31 E
Tyler,
Post Code: 75705
Phone: (903) 243-1110
Fax: -

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Ichabod Lafayette Balkcom M.d. in Tyler - Family Medicine

Ichabod Lafayette Balkcom M.d. is a Family Medicine in Tyler, . Ichabod Lafayette Balkcom M.d. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ichabod Lafayette Balkcom M.d. is 1922001817. The last update date is 2021-08-05.

Ichabod Lafayette Balkcom M.d.'s current location address is 10481 Hwy 31 E, Tyler, . You can contact this provider via phone number (903) 243-1110 and fax number -. The mailing address for Ichabod Lafayette Balkcom M.d. is 10481 Hwy 31 E, Tyler, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1922001817
Provider Name
ICHABOD LAFAYETTE BALKCOM M.D.
Gender
Male
Entity Type
Individual
Location Address
10481 Hwy 31 E, Tyler,
Location Phone
(903) 243-1110
Location Fax
-
Mailing Address
10481 Hwy 31 E, Tyler, Texas(TX)
Mailing Phone
903-243-1110
Mailing Fax
-
Enumeration Date
2005-05-24
Last Update Date
2021-08-05
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
J4701
License State
Texas (TX)
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
139946124 MEDICAID (05) Texas (TX)

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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.
1922001817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294200282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 294200282
2 + 9 + 4 + 2 + 0 + 0 + 2 + 8 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1922001817 is valid because the calculated check digit 7 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
1922001775 LUBBOCK HEART HOSPITAL, LLC
LUBBOCK HEART HOSPITAL
Organization
General Acute Care Hospital 4810 NORTH LOOP 289
LUBBOCK, Texas (TX)
806-687-7777
1922001726 ADVANCED DIAGNOSTICS--OPEN MRI
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 1800 BERING DR
HOUSTON, Texas (TX)
1922001528 ANGELITOS HOME HEALTH CARE, INC.
Organization
Home Health 315 E. 2 MILE LINE
MISSION, Texas (TX)
956-584-2410
1922001445 TIM P KRET OD, PA
1ST EYE CARE
Organization
Optometrist 3963 BOAT CLUB ROAD
FORT WORTH, Texas (TX)
817-237-7153
1922001395 SHELDON G. GROSS
Individual
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 4499 MEDICAL DR
SAN ANTONIO, Texas (TX)
210-614-3737