RAY W. METTETAL JR., M.D. INC.
NPI 1043451578
Clinic/Center - Medical Specialty in Johnson City, TN

NPI Status: Active since March 12, 2009

Contact Information

329 WESLEY ST STE 4
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 282-5411
Fax: (423) 282-5951

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  • Organization
  • Clinic/Center
  • Medical Specialty

About RAY W. METTETAL JR., M.D. INC.

This page provides the complete NPI Profile along with additional information for Ray W. Mettetal Jr., M.d. Inc., a provider established in Johnson City, Tennessee operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1043451578 assigned on March 2009. The practitioner's primary taxonomy code is 261QM2500X with license number MD 10753 (TN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Ray Wallace Mettetal Jr. M.d. (President/owner)

NPI
1043451578
Provider Name
RAY W. METTETAL JR., M.D. INC.
Entity Type
Organization
Location Address
329 WESLEY ST STE 4 JOHNSON CITY, TN 37601
Location Phone
(423) 282-5411
Location Fax
(423) 282-5951
Mailing Address
303 E 11TH AVE JOHNSON CITY, TN 37601
Mailing Phone
(423) 282-5411
Mailing Fax
(423) 282-5951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2009
Last Update Date
03-12-2009
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
MD 10753
License State
TN
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. RAY WALLACE METTETAL JR. M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(423) 341-7538

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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.
1043451578
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083852514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 8 + 5 + 2 + 5 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1043451578 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043451578, enumerated in the NPI registry as an "organization" on March 12, 2009

The provider is located at 329 Wesley St Ste 4 Johnson City, Tn 37601 and the phone number is (423) 282-5411

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on March 12, 2009. 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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