STIG PEITERSEN MD PA
NPI 1083806020
Specialist in Lufkin, TX

NPI Status: Active since August 14, 2007

Contact Information

1111 W FRANK AVE STE 302
LUFKIN, TX
ZIP 75904
Phone: (936) 699-4730
Fax: (936) 699-4737

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  • Specialist

About STIG PEITERSEN MD PA

This page provides the complete NPI Profile along with additional information for Stig Peitersen Md Pa, a provider established in Lufkin, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1083806020 assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number K0987 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. Stig Peitersen 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 Stig E Peitersen Md Pa (Physician)

NPI
1083806020
Provider Name
STIG PEITERSEN MD PA
Entity Type
Organization
Location Address
1111 W FRANK AVE STE 302 LUFKIN, TX 75904
Location Phone
(936) 699-4730
Location Fax
(936) 699-4737
Mailing Address
1111 W FRANK AVE STE 302 LUFKIN, TX 75904
Mailing Phone
(936) 699-4730
Mailing Fax
(936) 699-4737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2007
Last Update Date
08-05-2010
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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
License No.
K0987
License State
TX
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

STIG E PEITERSEN MD PA

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(936) 699-4730

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
8429M0OTHER (01)TXBCBS
00190RMEDICARE PIN (08)TX 
141572101MEDICAID (05)TX 

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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.
1083806020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631601204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 6 + 0 + 1 + 2 + 0 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083806020 is valid because the calculated check digit 0 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 1083806020, enumerated in the NPI registry as an "organization" on August 14, 2007

The provider is located at 1111 W Frank Ave Ste 302 Lufkin, Tx 75904 and the phone number is (936) 699-4730

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 August 14, 2007. 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.