ROOSEVELT SMITH JR. PAC, ATR
NPI 1003836701
Physician Assistant - Medical in Winona, MN
NPI Status: Active since July 19, 2006
Contact Information
62 E 3RD ST
SUITE 3
WINONA, MN
ZIP 55987
Phone: (507) 474-4770
Fax: (507) 474-4774
- Individual
- Male
- Physician Assistant
- Medical
About ROOSEVELT SMITH
This page provides the complete NPI Profile along with additional information for Roosevelt Smith, a primary care provider established in Winona, Minnesota with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1003836701 assigned on July 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 9155 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1003836701
- Provider Name
- ROOSEVELT SMITH JR. PAC, ATR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 62 E 3RD ST SUITE 3 WINONA, MN 55987
- Location Phone
- (507) 474-4770
- Location Fax
- (507) 474-4774
- Mailing Address
- 62 E 3RD ST SUITE 3 WINONA, MN 55987
- Mailing Phone
- (507) 474-4770
- Mailing Fax
- (507) 474-4774
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-19-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Roosevelt Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 9155
- License State
- MN
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 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 500023 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 0121686 | OTHER (01) | MN | MEDICA |
| HP32318 | OTHER (01) | MN | HEALTH PARTNERS |
| 679G2SM | OTHER (01) | MN | BCBS MN |
| S33132 | MEDICARE UPIN (02) | WI |
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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. | |||||||||
| 1 | 0 | 0 | 3 | 8 | 3 | 6 | 7 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 16 | 3 | 12 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 6 + 3 + 1 + 2 + 7 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1003836701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326064908 | NSU INC Organization | Physician Assistant | 62 E 3RD ST SUITE 3 WINONA, MN 55987 (507) 474-4770 |
| 1477573004 | STEVEN R VOGEL MD Individual | Family Medicine | 62 E 3RD ST SUITE 3 WINONA, MN 55987 (507) 474-4770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003836701, enumerated in the NPI registry as an "individual" on July 19, 2006
The provider is located at 62 E 3rd St Suite 3 Winona, Mn 55987 and the phone number is (507) 474-4770
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medica Health Insurance, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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