WAYNESBORO EMERGENCY SERVICES II, LLC
NPI 1013965516
Emergency Medicine in Waynesboro, TN
NPI Status: Active since May 05, 2006
Contact Information
103 JV MANGUBAT DR
WAYNESBORO, TN
ZIP 38485
Phone: (931) 722-5411
Fax: (904) 805-1302
- Organization
- Emergency Medicine
About WAYNESBORO EMERGENCY SERVICES II, LLC
This page provides the complete NPI Profile along with additional information for Waynesboro Emergency Services Ii, Llc, a provider established in Waynesboro, Tennessee operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1013965516 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Waynesboro Emergency Services Ii, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Robert J Bunker (Chairman/president/ceo)
- NPI
- 1013965516
- Provider Name
- WAYNESBORO EMERGENCY SERVICES II, LLC
- Entity Type
- Organization
- Location Address
- 103 JV MANGUBAT DR WAYNESBORO, TN 38485
- Location Phone
- (931) 722-5411
- Location Fax
- (904) 805-1302
- Mailing Address
- PO BOX 534114 ATLANTA, GA 30353
- Mailing Phone
- (904) 805-1300
- Mailing Fax
- (904) 805-1302
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 07-23-2008
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
*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 |
|---|---|---|---|
| ========= | OTHER (01) | TN | CHAMPUS |
| 3727708 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | |
| DC2765 | OTHER (01) | TN | RAIL ROAD MEDICARE |
| 154004300 | OTHER (01) | TN | DEPT OF LABOR |
| 3727708 | MEDICAID (05) | TN |
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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 | 1 | 3 | 9 | 6 | 5 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 18 | 6 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 8 + 6 + 1 + 0 + 5 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1013965516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477594455 | ROBERT COBLE MD Individual | Emergency Medicine | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (904) 805-1300 |
| 1902940117 | DR. HUBERT ERNEST LANGLEY M.D. Individual | Specialist | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-5411 |
| 1891967592 | MS. RHONDA PENELOPE MOORE LPTA Individual | Physical Therapy Assistant | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-2041 |
| 1053691063 | LIFECARE FAMILY SERVICES Organization | Community/Behavioral Health | 103 JV MANGUBAT DR MEDICAL OFFICE-SUITE C WAYNESBORO, TN 38485 (615) 781-0013 |
| 1285866970 | DR. OLIVIA KATHRYN BARRINGTON PHARM.D. Individual | Pharmacist | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-2038 |
| 1700251410 | DR. ELIZABETH HUMPHREY PHARM.D. Individual | Pharmacist | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-2038 |
| 1386136869 | MRS. KELSEY LEE COTA/L Individual | Occupational Therapy Assistant | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-5411 |
| 1528665452 | MAURY REGIONAL HOSPITAL Organization | Non-Pharmacy Dispensing Site | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (952) 653-2525 |
| 1457489312 | JERRY M DUREN Organization | Pharmacy (Institutional Pharmacy) | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-2038 |
| 1942294863 | DR. DONALD GABRIEL POLK D.O. Individual | Family Medicine | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 762-9418 |
| 1427631944 | SAMUEL PRESTON WELCH NP-C Individual | Nurse Practitioner (Primary Care) | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-5411 |
| 1811927544 | MAURY REGIONAL HOSPITAL Organization | General Acute Care Hospital | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (931) 722-5411 |
| 1518773712 | SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC Organization | Emergency Medicine | 103 JV MANGUBAT DR WAYNESBORO, TN 38485 (229) 236-0831 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013965516, enumerated in the NPI registry as an "organization" on May 05, 2006
The provider is located at 103 Jv Mangubat Dr Waynesboro, Tn 38485 and the phone number is (931) 722-5411
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Tricare, Medicare and Medicaid. 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 May 05, 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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