EVERGREEN VALLEY MEDICAL, PC
NPI 1225171630
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wrentham, MA

NPI Status: Active since February 15, 2007

Contact Information

170 TILTING ROCK RD
WRENTHAM, MA
ZIP 02093
Phone: (508) 930-7659

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About EVERGREEN VALLEY MEDICAL, PC

This page provides the complete NPI Profile along with additional information for Evergreen Valley Medical, Pc, a provider established in Wrentham, Massachusetts operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1225171630 assigned on February 2007. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Michael Fagien Md (Owner)

NPI
1225171630
Provider Name
EVERGREEN VALLEY MEDICAL, PC
Entity Type
Organization
Location Address
170 TILTING ROCK RD WRENTHAM, MA 02093
Location Phone
(508) 930-7659
Mailing Address
PO BOX 511 WRENTHAM, MA 02093
Mailing Phone
(508) 930-7659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
08-22-2020
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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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

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. MICHAEL FAGIEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(508) 930-7659

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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.
1225171630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
224527266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 2 + 7 + 2 + 6 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1225171630 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 1225171630, enumerated in the NPI registry as an "organization" on February 15, 2007

The provider is located at 170 Tilting Rock Rd Wrentham, Ma 02093 and the phone number is (508) 930-7659

This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X

This NPI record was last updated on February 15, 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.