MR. PAUL BROOKS WAGNER C.C.P.
NPI 1518063916
Specialist/Technologist Cardiovascular - Vascular Specialist in Modesto, CA

NPI Status: Active since September 15, 2006

Contact Information

1836 HARBOR CV
MODESTO, CA
ZIP 95355
Phone: (209) 484-8516
Fax: (209) 576-3613

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  • Individual
  • Male
  • Specialist/Technologist Cardiovascular
  • Vascular Specialist

About PAUL WAGNER

This page provides the complete NPI Profile along with additional information for Paul Wagner, a provider established in Modesto, California with a medical specialization in Specialist/technologist Cardiovascular, focusing in vascular specialist . The healthcare provider is registered in the NPI registry with number 1518063916 assigned on September 2006. The practitioner's primary taxonomy code is 246XC2903X with license number 890191-0970 (MS). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1518063916
Provider Name
MR. PAUL BROOKS WAGNER C.C.P.
Gender
Male
Entity Type
Individual
Location Address
1836 HARBOR CV MODESTO, CA 95355
Location Phone
(209) 484-8516
Location Fax
(209) 576-3613
Mailing Address
1836 HARBOR CV MODESTO, CA 95355
Mailing Phone
(209) 484-8516
Mailing Fax
(209) 576-3613
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2006
Last Update Date
07-08-2007
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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

Specialist/Technologist Cardiovascular Vascular Specialist

Taxonomy Code
246XC2903X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
890191-0970
License State
MS
Taxonomy Description
A vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots.

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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.
1518063916
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252806692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 6 + 6 + 9 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1518063916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518063916, enumerated in the NPI registry as an "individual" on September 15, 2006

The provider is located at 1836 Harbor Cv Modesto, Ca 95355 and the phone number is (209) 484-8516

The provider's speciality is Specialist/Technologist Cardiovascular with taxonomy code 246XC2903X with a focus in Vascular Specialist

This NPI record was last updated on September 15, 2006. 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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