NORTH EAST TEXAS MID-LEVEL ASSIST
NPI 1356735047
Physician Assistant - Surgical in Hurst, TX

NPI Status: Active since March 20, 2015

Contact Information

809 W HARWOOD RD STE 101
HURST, TX
ZIP 76054
Phone: (817) 283-5252
Fax: (817) 283-5283

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  • Organization
  • Physician Assistant
  • Surgical

About NORTH EAST TEXAS MID-LEVEL ASSIST

This page provides the complete NPI Profile along with additional information for North East Texas Mid-level Assist, a provider established in Hurst, Texas operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1356735047 assigned on March 2015. The practitioner's primary taxonomy code is 363AS0400X with license number PA03242 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Larry M Kjeldgaard D.o, (Sole Member)

NPI
1356735047
Provider Name
NORTH EAST TEXAS MID-LEVEL ASSIST
Entity Type
Organization
Location Address
809 W HARWOOD RD STE 101 HURST, TX 76054
Location Phone
(817) 283-5252
Location Fax
(817) 283-5283
Mailing Address
809 W HARWOOD RD STE 101 HURST, TX 76054
Mailing Phone
(817) 283-5252
Mailing Fax
(817) 283-5283
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2015
Last Update Date
03-20-2015
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA03242
License State
TX

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

LARRY M KJELDGAARD D.O,

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(817) 283-5252

Reviews for NORTH EAST TEXAS MID-LEVEL ASSIST

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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.
1356735047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061431008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 3 + 1 + 0 + 0 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1356735047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174534457DR. PATRICIA LYNN CATES D.C.
Individual
Chiropractor809 W HARWOOD RD STE 101
HURST, TX 76054
(817) 283-5252
1124368956NORTH EAST TEXAS MID-LEVEL ASSIST
Organization
Specialist809 W HARWOOD RD STE 101
HURST, TX 76054
(281) 324-5660
1740694975 KAYLA CALLE PTA
Individual
Physical Therapy Assistant809 W HARWOOD RD STE 101
HURST, TX 76054
(817) 283-5252
1952831091MRS. SARAH RENEE NEW PT
Individual
Physical Therapist809 W HARWOOD RD STE 101
HURST, TX 76054
(817) 527-1777
1144741208TRINITAS MEDICAL PROFESSIONALS
Organization
Orthopaedic Surgery809 W HARWOOD RD STE 101
HURST, TX 76054
(817) 283-5252
1467060889 MELISSA GODFREY WOOD APRN-CNP
Individual
Nurse Practitioner (Acute Care)809 W HARWOOD RD STE 101
HURST, TX 76054
(972) 646-8346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356735047, enumerated in the NPI registry as an "organization" on March 20, 2015

The provider is located at 809 W Harwood Rd Ste 101 Hurst, Tx 76054 and the phone number is (817) 283-5252

This medical organization specializes in Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

This NPI record was last updated on March 20, 2015. 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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