JAY ANTHONY REQUARTH MD
NPI 1033147657
Radiology - Vascular & Interventional Radiology in Winston Salem, NC

NPI Status: Active since June 30, 2006

Contact Information

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255

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  • Individual
  • Male
  • Radiology
  • Vascular & Interventional Radiology

About JAY REQUARTH

This page provides the complete NPI Profile along with additional information for Jay Requarth, a provider established in Winston Salem, North Carolina with a medical specialization in Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1033147657 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0204X with license number 2005-00403 (NC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1033147657
Provider Name
JAY ANTHONY REQUARTH MD
Gender
Male
Entity Type
Individual
Location Address
MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Location Phone
(336) 716-2255
Mailing Address
PO BOX 344 WINSTON-SALEM, NC 27102
Mailing Phone
(336) 716-2255
Is Sole Proprietor?
No
Enumeration Date
06-30-2006
Last Update Date
01-27-2012
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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

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
License No.
2005-00403
License State
NC
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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
808939OTHER (01)PARTNERS
F85920MEDICARE UPIN (02) 
86138000MEDICAID (05)WV 
142J0OTHER (01)BCBS
189351OTHER (01)MEDCOST
4556618OTHER (01)AETNA
P00367352MEDICARE PIN (08)NC 
10411491MEDICAID (05)VA 
2059952MEDICARE PIN (08)NC 
5904790MEDICAID (05)NC 

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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.
1033147657
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20632414610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 4 + 1 + 4 + 6 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1033147657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811990815MR. GARY LEE RAY MSN, CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2555
1548264310 PETER A VALEN MD
Individual
Internal Medicine (Rheumatology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1053393306MR. JAMES BOYD THOMAS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962484212 MARTHA SCHELL SOOTS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1659352961MS. LINDA MARIE SANGIULIANO CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6701
1376524686 KAREN M HARP CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962483297MRS. ALISA LAWSON STARBUCK RN NNP
Individual
Nurse Practitioner (Neonatal)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-6498
1477535599 RICHARD HENRY DEAN MD
Individual
Surgery (Vascular Surgery)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1366424483 CHERYL B KIRKPATRICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1386626349 CAROLYN RUTH FERREE MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141585 EDWARD GUS SHAW MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1447232400 MARK CAUTHEN WILLINGHAM MD
Individual
Pathology (Anatomic Pathology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1528040581 BART ALAN FRIZZELL MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1396727996 RAMON VELEZ MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1154303519 PETER RIBACK LICHSTEIN MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1497737894MRS. DONNA LEA MYERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2540
1114900354MRS. GWENDOLYN DALY ROARKE CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1346223484 RODOLFO M PASCUAL MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1376526400 JILL M OHAR MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1235112376 WENDY COLLEEN MOORE MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033147657, enumerated in the NPI registry as an "individual" on June 30, 2006

The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-2255

The provider's speciality is Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield 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 June 30, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.