LESLIE GLEN MASSOGLIA MD
NPI 1992780712
Family Medicine in Eagan,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 14, 2005

Contact Information

4845 Safari Ct N
Eagan,
Post Code: 55122
Phone: (507) 461-3813
Fax: (952) 431-5334

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Leslie Glen Massoglia Md in Eagan - Family Medicine

Leslie Glen Massoglia Md is a Family Medicine in Eagan, . Leslie Glen Massoglia Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leslie Glen Massoglia Md is 1992780712. The last update date is 2019-02-27.

Leslie Glen Massoglia Md's current location address is 4845 Safari Ct N, Eagan, . You can contact this provider via phone number (507) 461-3813 and fax number (952) 431-5334. The mailing address for Leslie Glen Massoglia Md is 4845 Safari Ct N, Eagan, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992780712
Provider Name
LESLIE GLEN MASSOGLIA MD
Gender
Female
Entity Type
Individual
Location Address
4845 Safari Ct N, Eagan,
Location Phone
(507) 461-3813
Location Fax
(952) 431-5334
Mailing Address
4845 Safari Ct N, Eagan, Minnesota(MN)
Mailing Phone
507-461-3813
Mailing Fax
651-305-0595
Enumeration Date
2005-12-14
Last Update Date
2019-02-27
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

Family Medicine, Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
-
License No.
43602
License State
Minnesota (MN)
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 207Q00000X Family Medicine Physician

Family Medicine

43602 (Minnesota)
2 207QA0401X Addiction Medicine (Family Medicine) Physician

Family Medicine, Addiction Medicine

43602 (Minnesota)
3 208VP0000X Pain Medicine Physician

Pain Medicine, Pain Medicine

43602 (Minnesota)

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
0107062, 39-09161 Other (non-Medicare) (01) Minnesota (MN) Medica
080172550 Other (non-Medicare) (01) Minnesota (MN) Medicare Railroad
117R2BA, 015K3BA Other (non-Medicare) (01) Minnesota (MN) BCBS
117R2BA, 015K3BA Other (non-Medicare) (01) Minnesota (MN) MnCare
140964 Other (non-Medicare) (01) Minnesota (MN) MnCare-U
20153 Other (non-Medicare) (01) Minnesota (MN) SVHP
363606405 Other (non-Medicare) (01) Minnesota (MN) Champus
564110100 MEDICAID (05) Minnesota (MN)
HP33926 Other (non-Medicare) (01) Minnesota (MN) Health Partners
NA9501028427 Other (non-Medicare) (01) Minnesota (MN) Preferred One

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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.
1992780712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182148072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29182148072
2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 0 + 7 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1992780712 is valid because the calculated check digit 2 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
1750384707 ALAN WILLIAM MARKMAN
Individual
Specialist 8100 NORTHLAND DR
MINNEAPOLIS, Minnesota (MN)
952-831-8742
1922001973 TERESA MARY ANDERSON-KRULL
Individual
Social Worker, Clinical 216 E MAIN ST
ALBERT LEA, Minnesota (MN)
507-377-0107
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1891798823 MONTICELLO BIG LAKE HOSPITAL NURSING HOME
Organization
General Acute Care Hospital, Critical Access 1013 HART BLVD
MONTICELLO, Minnesota (MN)
763-295-2945