PROACTIVE MD, LLC
NPI 1326346412
Respiratory Therapist, Registered - Pulmonary Diagnostics in Dyersburg, TN

NPI Status: Active since March 14, 2011

Contact Information

2148 AZTEC DR
DYERSBURG, TN
ZIP 38024
Phone: (731) 589-6156
Fax: (615) 467-8971

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  • Organization
  • Respiratory Therapist, Registered
  • Pulmonary Diagnostics

About PROACTIVE MD, LLC

This page provides the complete NPI Profile along with additional information for Proactive Md, Llc, a provider established in Dyersburg, Tennessee operating as a Respiratory Therapist, Registered, focusing in pulmonary diagnostics . The healthcare provider is registered in the NPI registry with number 1326346412 assigned on March 2011. The practitioner's primary taxonomy code is 2279P1004X with license number RRT0000000395 (TN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Proactive Md, Llc 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 Phillip D Tidwell Rrt (Registered Respiratory Therapist)

NPI
1326346412
Provider Name
PROACTIVE MD, LLC
Entity Type
Organization
Location Address
2148 AZTEC DR DYERSBURG, TN 38024
Location Phone
(731) 589-6156
Location Fax
(615) 467-8971
Mailing Address
2148 AZTEC DR DYERSBURG, TN 38024
Mailing Phone
(731) 589-6156
Mailing Fax
(615) 467-8971
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2011
Last Update Date
06-12-2013
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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

Respiratory Therapist, Registered Pulmonary Diagnostics

Taxonomy Code
2279P1004X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
RRT0000000395
License State
TN
Taxonomy Description
A registered respiratory therapist included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.

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

PHILLIP D TIDWELL RRT

Authorized Official Title
REGISTERED RESPIRATORY THERAPIST
Authorized Official Phone
(731) 589-6156

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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.
1326346412
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346641242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 4 + 1 + 2 + 4 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1326346412 is valid because the calculated check digit 2 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
1659680114 PHILLIP D TIDWELL
Individual
Respiratory Therapist, Registered (Pulmonary Diagnostics)2148 AZTEC DR
DYERSBURG, TN 38024
(731) 589-6156

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326346412, enumerated in the NPI registry as an "organization" on March 14, 2011

The provider is located at 2148 Aztec Dr Dyersburg, Tn 38024 and the phone number is (731) 589-6156

This medical organization specializes in Respiratory Therapist, Registered with taxonomy code 2279P1004X with a focus in Pulmonary Diagnostics

This NPI record was last updated on March 14, 2011. 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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