SUSAN DALE WALL M.D.
NPI 1962480970
Dermatology, Procedural Dermatology in Iowa City,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 9, 2006

Contact Information

521 Westbury Dr Ste 2
Iowa City,
Post Code: 52245
Phone: (319) 339-3872
Fax: (319) 339-3874

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Susan Dale Wall M.d. in Iowa City - Dermatology, Procedural Dermatology

Susan Dale Wall M.d. is a Dermatology, Procedural Dermatology in Iowa City, . Susan Dale Wall M.d. practices all healthcare services and medical treatments related to Dermatology, Procedural Dermatology. The NPI Number for Susan Dale Wall M.d. is 1962480970. The last update date is 2022-06-30.

Susan Dale Wall M.d.'s current location address is 521 Westbury Dr Ste 2, Iowa City, . You can contact this provider via phone number (319) 339-3872 and fax number (319) 339-3874. The mailing address for Susan Dale Wall M.d. is 521 Westbury Dr Ste 2, Iowa City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1962480970
Provider Name
SUSAN DALE WALL M.D.
Gender
Female
Entity Type
Individual
Location Address
521 Westbury Dr Ste 2, Iowa City,
Location Phone
(319) 339-3872
Location Fax
(319) 339-3874
Mailing Address
801 York St, Manitowoc, Wisconsin(WI)
Mailing Phone
920-663-9008
Mailing Fax
920-684-1439
Enumeration Date
2006-01-09
Last Update Date
2022-06-30
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

Dermatology

Taxonomy Code
207N00000X
Type
-
License No.
28400
License State
Iowa (IA)
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 207NS0135X Procedural Dermatology Physician

Dermatology, Procedural Dermatology

28400 (Iowa)

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
0079301 MEDICAID (05) Iowa (IA)

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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.
1962480970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122880914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29122880914
2 + 9 + 1 + 2 + 2 + 8 + 8 + 0 + 9 + 1 + 4 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1962480970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

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The following 5 providers are registered at the same or nearby location.

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Organization
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515-126-6119
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Organization
Home Health 204 N 4TH AVE EAST
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641-792-5086
1851394050 GARY DEAN BRIDGES
Individual
Acupuncturist 1103 BUCKEYE AVE STE 102
AMES, Iowa (IA)
515-233-2225