FRASER G TUDIVER M.D.
NPI 1386620169
Family Medicine in Johnson City, TN
NPI Status: Active since December 22, 2005
Contact Information
917 W WALNUT ST
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-6464
Fax: (423) 439-7118
- Individual
- Male
- Family Medicine
About FRASER TUDIVER
This page provides the complete NPI Profile along with additional information for Fraser Tudiver, a primary care provider established in Johnson City, Tennessee with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1386620169 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 36003 (TN). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1386620169
- Provider Name
- FRASER G TUDIVER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 917 W WALNUT ST JOHNSON CITY, TN 37604
- Location Phone
- (423) 439-6464
- Location Fax
- (423) 439-7118
- Mailing Address
- P.O. BOX 699 MOUNTAIN HOME, TN 37684
- Mailing Phone
- (423) 439-6464
- Mailing Fax
- (423) 439-7118
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-22-2005
- Last Update Date
- 11-08-2010
- Code Navigator
A primary care provider (PCP) like Fraser Tudiver sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36003
- License State
- TN
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| G89134 | MEDICARE UPIN (02) | ||
| 3870626 | MEDICARE PIN (08) | TN | |
| 38706251 | MEDICARE PIN (08) | TN |
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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. | |||||||||
| 1 | 3 | 8 | 6 | 6 | 2 | 0 | 1 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 2 | 0 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 2 + 0 + 1 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1386620169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083690861 | JIM L WILSON M.D. Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1619953494 | JACK R WOODSIDE M.D. Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1770561995 | TRACY HARRISON GOEN M.D. Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6471 |
| 1235253527 | KAREN FAY CARVER MALONE MSW, CMSW, LCSW Individual | Social Worker (Clinical) | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1144414160 | DR. BRIAN H DARAKYAN Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6740 |
| 1437390317 | DR. EMILY KELLEY FLORES PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1376874883 | MS. DRU KATHERINE HERRING D.O, L.M.T. Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1760914360 | DALILA AGUILAR Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 952-6563 |
| 1639155963 | JOSEPH A FLORENCE IV MD Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1972554822 | MICHAEL OSTAPCHUK MD Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1750776464 | RYAN B. TEWELL PHARMD Individual | Pharmacist | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1558758268 | DR. ADAM DAVID MYERS M.D. Individual | Emergency Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1477584654 | BRIAN E. INGALLS MD Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1346823853 | DR. AMBER LAINE WATSON DO Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1972653152 | SCHUYLER KEITH GELLER M.D., M.P.H. Individual | Internal Medicine (Addiction Medicine) | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1912663246 | MATTHEW B KOWALCZYK Individual | Counselor (Mental Health) | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1124516018 | DR. CHRISTINE R COLON MD Individual | Family Medicine | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-4683 |
| 1366192338 | JASON SOONG Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1568112878 | JAYSON ANDREW MARCARELLI DO Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
| 1669114294 | EDWARD OLIVER HANCOCK DO Individual | Student in an Organized Health Care Education/Training Program | 917 W WALNUT ST JOHNSON CITY, TN 37604 (423) 439-6464 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386620169, enumerated in the NPI registry as an "individual" on December 22, 2005
The provider is located at 917 W Walnut St Johnson City, Tn 37604 and the phone number is (423) 439-6464
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: 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 December 22, 2005. 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.