THEODORE M WANDZILAK MD
NPI 1033396171
Durable Medical Equipment & Medical Supplies in Louisville, KY

NPI Status: Active since January 30, 2008

Contact Information

1348 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40217
Phone: (502) 634-1721
Fax: (502) 637-6396

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About THEODORE M WANDZILAK MD

This page provides the complete NPI Profile along with additional information for Theodore M Wandzilak Md, a provider established in Louisville, Kentucky operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1033396171 assigned on January 2008. The practitioner's primary taxonomy code is 332B00000X with license number 22152 (KY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Pam Smith (Manager)

NPI
1033396171
Provider Name
THEODORE M WANDZILAK MD
Entity Type
Organization
Location Address
1348 POPLAR LEVEL RD LOUISVILLE, KY 40217
Location Phone
(502) 634-1721
Location Fax
(502) 637-6396
Mailing Address
1348 POPLAR LEVEL RD LOUISVILLE, KY 40217
Mailing Phone
(502) 634-1721
Mailing Fax
(502) 637-6396
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2008
Last Update Date
06-08-2017
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
22152
License State
KY
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAM SMITH

Authorized Official Title
MANAGER
Authorized Official Phone
(502) 634-1721

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
0242010001MEDICARE NSC (07)KY 

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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.
1033396171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20636912114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 6 + 9 + 1 + 2 + 1 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1033396171 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013909753 THEODORE M WANDZILAK MD
Individual
Ophthalmology1348 POPLAR LEVEL RD
LOUISVILLE, KY 40217
(502) 634-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033396171, enumerated in the NPI registry as an "organization" on January 30, 2008

The provider is located at 1348 Poplar Level Rd Louisville, Ky 40217 and the phone number is (502) 634-1721

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: 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 January 30, 2008. 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.