MARK PETRUN M.D.
NPI 1962472803
Internal Medicine, Critical Care Medicine in Fort Collins,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 24, 2006

Contact Information

2121 E Harmony Rd
Fort Collins,
Post Code: 80528
Phone: (970) 224-9102
Fax: (970) 224-9112

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Mark Petrun M.d. in Fort Collins - Internal Medicine, Critical Care Medicine

Mark Petrun M.d. is a Internal Medicine, Critical Care Medicine in Fort Collins, . Mark Petrun M.d. practices all healthcare services and medical treatments related to Internal Medicine, Critical Care Medicine. The NPI Number for Mark Petrun M.d. is 1962472803. The last update date is 2016-08-16.

Mark Petrun M.d.'s current location address is 2121 E Harmony Rd, Fort Collins, . You can contact this provider via phone number (970) 224-9102 and fax number (970) 224-9112. The mailing address for Mark Petrun M.d. is 2121 E Harmony Rd, Fort Collins, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1962472803
Provider Name
MARK PETRUN M.D.
Gender
Male
Entity Type
Individual
Location Address
2121 E Harmony Rd, Fort Collins,
Location Phone
(970) 224-9102
Location Fax
(970) 224-9112
Mailing Address
2121 E Harmony Rd, Fort Collins, Colorado(CO)
Mailing Phone
970-224-9102
Mailing Fax
970-224-9112
Enumeration Date
2006-01-24
Last Update Date
2016-08-16
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, Pulmonary Disease

Taxonomy Code
207RP1001X
Type
-
License No.
DR.0024745
License State
Colorado (CO)
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 207RC0200X Critical Care Medicine (Internal Medicine) Physician

Internal Medicine, Critical Care Medicine

DR.0024745 (Colorado)
2 207RS0012X Sleep Medicine (Internal Medicine) Physician

Internal Medicine, Sleep Medicine

DR.0024745 (Colorado)
3 207R00000X Internal Medicine Physician

Internal Medicine

DR.0024745 (Colorado)

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
01247451 MEDICAID (05) Colorado (CO)
290007464 Other (non-Medicare) (01) Colorado (CO) RAILROAD MEDICARE
104364100 MEDICAID (05) Wyoming (WY)

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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.
1962472803
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912287480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2912287480
2 + 9 + 1 + 2 + 2 + 8 + 7 + 4 + 8 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1962472803 is valid because the calculated check digit 3 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
1962472779 JOHN PERCIVAL REASONER
Individual
Family Medicine, Sports Medicine 402 W BIJOU ST
COLORADO SPRINGS, Colorado (CO)
719-302-6942
1962409342 KAREN KELLY
Individual
Internal Medicine 1707 COLE BLVD
GOLDEN, Colorado (CO)
303-716-8013
1962409318 DEBRA A FRIESEN
Individual
Internal Medicine 4803 WARD RD
WHEAT RIDGE, Colorado (CO)
303-338-4545
1962409235 PAOLO ROMERO
Individual
General Practice 2121 E HARMONY RD
FORT COLLINS, Colorado (CO)
970-493-6337
1962408898 TERRI THORN
Individual
Physician Assistant, Surgical PO BOX 1303
FRISCO, Colorado (CO)
970-668-3633