DR. KENNETH EGERSTROM MD
NPI 1497739098
Preventive Medicine - Aerospace Medicine in Kirtland Afb, NM
NPI Status: Active since December 06, 2005
Contact Information
2050A 2ND ST SE
KIRTLAND AFB, NM
ZIP 87117
Phone: (505) 846-7695
- Individual
- Male
- Preventive Medicine
- Aerospace Medicine
About KENNETH EGERSTROM
This page provides the complete NPI Profile along with additional information for Kenneth Egerstrom, a provider established in Kirtland Afb, New Mexico with a medical specialization in Preventive Medicine, focusing in aerospace medicine . The healthcare provider is registered in the NPI registry with number 1497739098 assigned on December 2005. The practitioner's primary taxonomy code is 2083A0100X with license number 0101222073 (VA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1497739098
- Provider Name
- DR. KENNETH EGERSTROM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2050A 2ND ST SE KIRTLAND AFB, NM 87117
- Location Phone
- (505) 846-7695
- Mailing Address
- 2050A 2ND ST SE KIRTLAND AFB, NM 87117
- Mailing Phone
- (505) 846-7695
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2005
- Last Update Date
- 07-27-2009
- Code Navigator
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
Preventive Medicine Aerospace Medicine
- Taxonomy Code
- 2083A0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101222073
- License State
- VA
- Taxonomy Description
- Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 0101222073 (VA) |
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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 | 4 | 9 | 7 | 7 | 3 | 9 | 0 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 3 | 18 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 3 + 1 + 8 + 0 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1497739098 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1114990280 | DR. MARY ANN TERESE ORZECH M.D. Individual | Preventive Medicine (Aerospace Medicine) | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-2520 |
| 1316906993 | GEORGE ERIC WOMBLE REGISTERED NURSE Individual | Registered Nurse | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-6069 |
| 1366671570 | MR. WILLIAM JAMES NEGRI IDMT Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 2050A 2ND ST SE 377AMDS/SGPF KIRTLAND AFB, NM 87117 (505) 846-3714 |
| 1184943623 | MR. TODD BURBACH Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3578 |
| 1528393337 | DR. EMILY A FLETCHER PHARM D Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 2050A 2ND ST SE ALBUQUERQUE, NM 87117 (505) 846-3131 |
| 1295103265 | MR. ADAM DAVID MYERS PA-C Individual | Physician Assistant | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3562 |
| 1295736056 | DR. JAMES J REYNOLDS D.D.S. Individual | Dentist (General Practice) | 2050A 2ND ST SE ALBUQUERQUE, NM 87117 (505) 846-3027 |
| 1952388688 | DR. DAVID BRECKENRIDGE SPROAT MD, MSA, FAAFP Individual | Family Medicine | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1346203809 | JAY RONALD ALLEN M.D. Individual | Family Medicine | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3562 |
| 1952541716 | STACEY RENEE VIERRA PA-C Individual | Physician Assistant | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1376799817 | SHANNON MACLEAN DO Individual | General Practice | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (253) 968-1110 |
| 1952584799 | MR. WINFIELD SCOTT REVELS PT Individual | Physical Therapist | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1902461080 | MICAH THOMAS EASTERLING PT ,DPT Individual | Physical Therapist (Orthopedic) | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1437158896 | SUSAN ROBERTS D.O. Individual | Family Medicine | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1871541276 | DR. MICHAEL RAYMOND CRADDOCK DDS Individual | Dentist (Prosthodontics) | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1275560724 | MR. JOSEPH GERARD HOGAN LISW Individual | Social Worker (Clinical) | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 270-4387 |
| 1447349782 | DR. ALAN K DUNAWAY D.C. Individual | Chiropractor | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3006 |
| 1487735965 | DR. BOBBY N HOLSTEAD PH.D. Individual | Psychologist | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-3200 |
| 1225351174 | JON RICHARD NELSON PHARM D Individual | Pharmacist | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (505) 846-7910 |
| 1912212689 | ERIC L. SPEIGHT OT Individual | Occupational Therapist | 2050A 2ND ST SE KIRTLAND AFB, NM 87117 (719) 333-3107 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497739098, enumerated in the NPI registry as an "individual" on December 06, 2005
The provider is located at 2050a 2nd St Se Kirtland Afb, Nm 87117 and the phone number is (505) 846-7695
The provider's speciality is Preventive Medicine with taxonomy code 2083A0100X with a focus in Aerospace Medicine
This NPI record was last updated on December 06, 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].
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