HOLLIS TIDMORE MD
NPI 1962473975
Surgery, Vascular Surgery in Houston,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 28, 2006

Contact Information

1422 S Sam Houston Blvd
Houston,
Post Code: 65483
Phone: (417) 967-1252
Fax: (417) 967-0417

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Hollis Tidmore Md in Houston - Surgery, Vascular Surgery

Hollis Tidmore Md is a Surgery, Vascular Surgery in Houston, . Hollis Tidmore Md practices all healthcare services and medical treatments related to Surgery, Vascular Surgery. The NPI Number for Hollis Tidmore Md is 1962473975. The last update date is 2023-01-31.

Hollis Tidmore Md's current location address is 1422 S Sam Houston Blvd, Houston, . You can contact this provider via phone number (417) 967-1252 and fax number (417) 967-0417. The mailing address for Hollis Tidmore Md is 1422 S Sam Houston Blvd, Houston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1962473975
Provider Name
HOLLIS TIDMORE MD
Gender
Male
Entity Type
Individual
Location Address
1422 S Sam Houston Blvd, Houston,
Location Phone
(417) 967-1252
Location Fax
(417) 967-0417
Mailing Address
1422 S Sam Houston Blvd, Houston, Missouri(MO)
Mailing Phone
417-967-1252
Mailing Fax
417-967-0417
Enumeration Date
2006-01-28
Last Update Date
2023-01-31
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

Surgery

Taxonomy Code
208600000X
Type
-
License No.
2009005897
License State
Missouri (MO)
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 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

2009005897 (Missouri)
2 2086S0127X Trauma Surgery Physician

Surgery, Trauma Surgery

2009005897 (Missouri)

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
207050501 MEDICAID (05) Missouri (MO)

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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.
1962473975
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122876914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29122876914
2 + 9 + 1 + 2 + 2 + 8 + 7 + 6 + 9 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 5 5

The NPI number 1962473975 is valid because the calculated check digit 5 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
1205839354 EMIL A DIFILIPPO
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1477556405 CHARLES M LINSENMEYER
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1366445314 KEVIN A NETTESHEIM
Individual
Podiatrist, Foot & Ankle Surgery 4305 BUTLER HILL RD STE B
SAINT LOUIS, Missouri (MO)
314-849-9009
1801899851 ROBERT E FERRIS
Individual
Specialist PO BOX 104240
JEFFERSON CITY, Missouri (MO)
573-556-7717
1760485718 BRIAN T STEPHENS
Individual
Specialist 1241 W STADIUM BLVD
JEFFERSON CITY, Missouri (MO)
573-636-5248