ROBERT PROVENZANO MD
NPI 1972505584
Internal Medicine, Nephrology in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

1547 Ne 40th Ave Ste B
Portland,
Post Code: 97232
Phone: (855) 397-0197
Fax: -

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Robert Provenzano Md in Portland - Internal Medicine, Nephrology

Robert Provenzano Md is a Internal Medicine, Nephrology in Portland, . Robert Provenzano Md practices all healthcare services and medical treatments related to Internal Medicine, Nephrology. The NPI Number for Robert Provenzano Md is 1972505584. The last update date is 2019-11-26.

Robert Provenzano Md's current location address is 1547 Ne 40th Ave Ste B, Portland, . You can contact this provider via phone number (855) 397-0197 and fax number -. The mailing address for Robert Provenzano Md is 1547 Ne 40th Ave Ste B, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1972505584
Provider Name
ROBERT PROVENZANO MD
Gender
Male
Entity Type
Individual
Location Address
1547 Ne 40th Ave Ste B, Portland,
Location Phone
(855) 397-0197
Location Fax
-
Mailing Address
1840 E Ray Rd, Chandler, Arizona(AZ)
Mailing Phone
855-397-0197
Mailing Fax
800-272-6512
Enumeration Date
2005-08-12
Last Update Date
2019-11-26
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, Nephrology

Taxonomy Code
207RN0300X
Type
-
License No.
RP047354
License State
Michigan (MI)
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 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

M-11205 (Idaho)
2 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

4301047354 (Michigan)
3 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

54729 (Arizona)
4 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

2017-00405 (North Carolina)
5 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

40429 (South Carolina)
6 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

MD463387 (Pennsylvania)
7 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

ME118456 (Florida)
8 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

48234 (Colorado)
9 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

MD0000053388 (Tennessee)
10 207RN0300X Nephrology Physician

Internal Medicine, Nephrology

MD170613 (Oregon)

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

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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.
1972505584
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2914210010516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2914210010516
2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 0 + 5 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1972505584 is valid because the calculated check digit 4 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
1568465508 JENNIFER ROST
Individual
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541-388-7738
1376546309 EDWARD HSIA0-KUA CHANG
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TIGARD, Oregon (OR)
971-708-7600
1851394878 JENNIFER HOPE CHRISTIANSEN
Individual
Physician Assistant, Surgical 265 N BROADWAY ST
PORTLAND, Oregon (OR)
503-274-4885
1700889748 PANAGIOTIS FOURTOUNIS
Individual
Specialist 820 NW 12TH AVE
PORTLAND, Oregon (OR)
503-539-8519
1326041526 NATE D QUILICI
Individual
Specialist 9205 SW BARNES RD
PORTLAND, Oregon (OR)
503-216-2181