IMH PROF INFECT DISEASE
NPI 1043248610
Specialist in Statesville, NC

NPI Status: Active since June 30, 2006

Contact Information

557 BROOKDALE DR
STATESVILLE, NC
ZIP 28677
Phone: (704) 873-5661

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  • Organization
  • Specialist

About IMH PROF INFECT DISEASE

This page provides the complete NPI Profile along with additional information for Imh Prof Infect Disease, a provider established in Statesville, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1043248610 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Ed Rush (President)

NPI
1043248610
Provider Name
IMH PROF INFECT DISEASE
Entity Type
Organization
Location Address
557 BROOKDALE DR STATESVILLE, NC 28677
Location Phone
(704) 873-5661
Mailing Address
557 BROOKDALE DR STATESVILLE, NC 28677
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-30-2006
Last Update Date
08-28-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

*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

MR. ED RUSH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(704) 873-5661

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
5906563MEDICAID (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.
1043248610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083441662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 4 + 1 + 6 + 6 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1043248610 is valid because the calculated check digit 0 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
1982606281 ROCCO JOSEPH TRITICO M.D.
Individual
Specialist557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 878-4510
1417944224IREDELL MEMORIAL HOSPITAL, INCORPORATED
Organization
General Acute Care Hospital557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1114905601DR. THOMAS GASTON M.D.
Individual
Specialist557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 838-5166
1760462196IREDELL MEMORIAL HOSPITAL, INC
Organization
Skilled Nursing Facility557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1548230204IREDELL MEMORIAL HOSPITAL, INCORPORATED
Organization
General Acute Care Hospital557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1013941145IREDELL PHYSICIAN NETWORK LLC
Organization
Specialist557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1144242199 DAWN COZART CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1306869870 ANNA BROWER CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1194748665 LORRAINE ANGEL CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1134142466 KAREN COURTS CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1033132485 KAREN KAUFFMAN CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5561
1487677837 DOTTIE LINYARD CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5561
1750305256 DAVID HENSLEY CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1053335240 SYLVIA SELF CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1033133228 BARBARA LEE THOMAS CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5561
1306860614 ANGELA BALDWIN CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1093739575 JAMES COWAN CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1063436236 KAREN HENSLEY CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1609890888 KIM HOTTLE CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661
1558372300 KIMBERLY D TRIBO CRNA
Individual
Nurse Anesthetist, Certified Registered557 BROOKDALE DR
STATESVILLE, NC 28677
(704) 873-5661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043248610, enumerated in the NPI registry as an "organization" on June 30, 2006

The provider is located at 557 Brookdale Dr Statesville, Nc 28677 and the phone number is (704) 873-5661

This medical organization specializes in Specialist with taxonomy code 174400000X

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 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.