WALLACE UROLOGY INC
NPI 1316496664
Urology in Memphis, TN

NPI Status: Active since September 28, 2016

Contact Information

1325 EASTMORELAND AVE STE 425
MEMPHIS, TN
ZIP 38104
Phone: (901) 272-3200
Fax: (901) 278-3441

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  • Organization
  • Urology

About WALLACE UROLOGY INC

This page provides the complete NPI Profile along with additional information for Wallace Urology Inc, a provider established in Memphis, Tennessee operating as a Urology. The healthcare provider is registered in the NPI registry with number 1316496664 assigned on September 2016. The practitioner's primary taxonomy code is 208800000X with license number 015359 (TN). The provider is registered as an organization and their NPI record was last updated 9 years ago. Wallace Urology Inc 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 Dr. Charles Russell Wallace Jr. M.d. (Medical Doctor)

NPI
1316496664
Provider Name
WALLACE UROLOGY INC
Entity Type
Organization
Location Address
1325 EASTMORELAND AVE STE 425 MEMPHIS, TN 38104
Location Phone
(901) 272-3200
Location Fax
(901) 278-3441
Mailing Address
1325 EASTMORELAND AVE STE 425 MEMPHIS, TN 38104
Mailing Phone
(901) 272-3200
Mailing Fax
(901) 278-3441
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2016
Last Update Date
09-28-2016
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
015359
License State
TN
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

DR. CHARLES RUSSELL WALLACE JR. M.D.

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(901) 272-3200

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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.
1316496664
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23268912612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 9 + 1 + 2 + 6 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1316496664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558522367CHARLES R. WALLACE, JR., MD
Organization
Urology1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104
(901) 272-3200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316496664, enumerated in the NPI registry as an "organization" on September 28, 2016

The provider is located at 1325 Eastmoreland Ave Ste 425 Memphis, Tn 38104 and the phone number is (901) 272-3200

This medical organization specializes in Urology with taxonomy code 208800000X

This NPI record was last updated on September 28, 2016. 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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