DERLIS MARTINO MD PA
NPI 1063587269
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Little Rock, AR

NPI Status: Active since November 22, 2006

Contact Information

9601 LILE DR
SUITE 650
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 223-2860
Fax: (501) 223-2258

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About DERLIS MARTINO MD PA

This page provides the complete NPI Profile along with additional information for Derlis Martino Md Pa, a provider established in Little Rock, Arkansas operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1063587269 assigned on November 2006. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Derlis Martino Md Pa 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 Derlis Martino Md (President)

NPI
1063587269
Provider Name
DERLIS MARTINO MD PA
Entity Type
Organization
Location Address
9601 LILE DR SUITE 650 LITTLE ROCK, AR 72205
Location Phone
(501) 223-2860
Location Fax
(501) 223-2258
Mailing Address
9601 LILE DR SUITE 650 LITTLE ROCK, AR 72205
Mailing Phone
(501) 223-2860
Mailing Fax
(501) 223-2258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2006
Last Update Date
10-09-2007
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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.

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

DERLIS MARTINO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(501) 223-2860

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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.
1063587269
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012310814212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 0 + 8 + 1 + 4 + 2 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063587269 is valid because the calculated check digit 9 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
1033111539DR. JAMES PATRICK FLOREZ M.D.
Individual
Internal Medicine9601 LILE DR SUITE 890
LITTLE ROCK, AR 72205
(501) 224-0110
1750360954DR. JAMES ALAN WELLONS M.D.
Individual
Internal Medicine (Nephrology)9601 LILE DR SUITE 350
LITTLE ROCK, AR 72205
(501) 224-2141
1427027598 PAMELA JANELLE WILLS M.D.
Individual
Specialist9601 LILE DR STE 400
LITTLE ROCK, AR 72205
(501) 907-1204
1477513778 JOHN M RANSOM MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)9601 LILE DR STE 330
LITTLE ROCK, AR 72205
(501) 223-2860
1336100262DR. LAWRENCE CURTIS BANDY MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)9601 LILE DR STE 850
LITTLE ROCK, AR 72205
(501) 221-3088
1750349098DR. AMY CATHERINE WIEDOWER EBLE M.D.
Individual
Obstetrics & Gynecology9601 LILE DR 500
LITTLE ROCK, AR 72205
(501) 227-5885
1386692994DR. CYNTHIA ANN HUBACH M.D.
Individual
Obstetrics & Gynecology9601 LILE DR 500
LITTLE ROCK, AR 72205
(501) 227-5885
1447208038DR. ELIZABETH ASHLEY DEED M.D.
Individual
Obstetrics & Gynecology9601 LILE DR 500
LITTLE ROCK, AR 72205
(501) 227-5885
1306894936DR. CHARLES EDGAR PHILLIPS M.D.
Individual
Obstetrics & Gynecology9601 LILE DR
LITTLE ROCK, AR 72205
(501) 227-5885
1407808850DR. KEITH HACKLER M.D.
Individual
Radiology (Diagnostic Radiology)9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205
(501) 227-5256
1548214380DR. CLINTON J FULLER M.D.
Individual
Radiology (Diagnostic Radiology)9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205
(501) 227-5256
1740233568DR. WILLIAM T HENRY SR. M.D.
Individual
Radiology (Diagnostic Radiology)9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205
(501) 227-5256
1053366559DR. W DALE PERRYMORE M.D.
Individual
Radiology (Diagnostic Radiology)9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205
(501) 227-5256
1659326916DR. W BRADLEY PIERCE M.D.
Individual
Radiology (Diagnostic Radiology)9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205
(501) 227-5256
1255388997MEDICAL LABORATORIES OF ARKANSAS, INC.
Organization
Clinical Medical Laboratory9601 LILE DR SUITE 108
LITTLE ROCK, AR 72205
(501) 202-6522
1194761791 GEORGE TIMOTHY BURSON M.D.
Individual
Neurological Surgery9601 LILE DR SUITE 310
LITTLE ROCK, AR 72205
(501) 224-0200
1518994862 SHARON KAY AURELI R.N.
Individual
Registered Nurse9601 LILE DR SUITE 310
LITTLE ROCK, AR 72205
(501) 224-0200
1679598684 DAVID LAWRENCE REDING M.D.
Individual
Neurological Surgery9601 LILE DR SUITE 310
LITTLE ROCK, AR 72205
(501) 224-0200
1174548366DR. PHILIP LEWIS MIZELL M.D.
Individual
Psychiatry & Neurology (Psychiatry)9601 LILE DR SUITE 1050
LITTLE ROCK, AR 72205
(501) 228-7400
1720093578 LESLIE V MONROE DDS
Individual
Dentist (General Practice)9601 LILE DR SUITE 104
LITTLE ROCK, AR 72205
(501) 224-0144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063587269, enumerated in the NPI registry as an "organization" on November 22, 2006

The provider is located at 9601 Lile Dr Suite 650 Little Rock, Ar 72205 and the phone number is (501) 223-2860

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

This NPI record was last updated on November 22, 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.