MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
NPI 1972573699
General Practice in Mountain Grove,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 25, 2006

Contact Information

601 N Busch Ave
Mountain Grove,
Post Code: 65711
Phone: (417) 926-6643
Fax: (417) 926-6317

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Mountain Grove Medical And Laser Center Inc in Mountain Grove - General Practice

Mountain Grove Medical And Laser Center Inc is a General Practice in Mountain Grove, . Mountain Grove Medical And Laser Center Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mountain Grove Medical And Laser Center Inc is 1972573699. The last update date is 2018-05-14.

Mountain Grove Medical And Laser Center Inc's current location address is 601 N Busch Ave, Mountain Grove, . You can contact this provider via phone number (417) 926-6643 and fax number (417) 926-6317. The mailing address for Mountain Grove Medical And Laser Center Inc is 601 N Busch Ave, Mountain Grove, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1972573699
Provider Legal Name
MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
Other Organization Name
MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
Other Name Type
-
Entity Type
Organization
Location Address
601 N Busch Ave, Mountain Grove,
Location Phone
(417) 926-6643
Location Fax
(417) 926-6317
Mailing Address
601 N Busch Ave, Mountain Grove, Missouri(MO)
Mailing Phone
417-926-6643
Mailing Fax
417-926-6317
Enumeration Date
2006-01-25
Last Update Date
2018-05-14
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

Clinic/Center, Rural Health

Taxonomy Code
261QR1300X
Type
-
License No.
-
License State
-
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 208D00000X General Practice Physician

General Practice

R7130 (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
243394905 MEDICAID (05) Missouri (MO)
793840 Other (non-Medicare) (01) Missouri (MO) RIVERBEND

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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.
1972573699
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421076618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291421076618
2 + 9 + 1 + 4 + 2 + 1 + 0 + 7 + 6 + 6 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9 9

The NPI number 1972573699 is valid because the calculated check digit 9 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