LIZA DE OLAZO BANAAG, M. D., P. A.
NPI 1558497040
Preventive Medicine - Undersea and Hyperbaric Medicine in Grenada, MS
NPI Status: Active since February 26, 2007
Contact Information
965 J K AVENT DR
SUITE 100-A
GRENADA, MS
ZIP 38901
Phone: (662) 227-7446
- Organization
- Preventive Medicine
- Undersea and Hyperbaric Medicine
About LIZA DE OLAZO BANAAG, M. D., P. A.
This page provides the complete NPI Profile along with additional information for Liza De Olazo Banaag, M. D., P. A., a provider established in Grenada, Mississippi operating as a Preventive Medicine, focusing in undersea and hyperbaric medicine . The healthcare provider is registered in the NPI registry with number 1558497040 assigned on February 2007. The practitioner's primary taxonomy code is 2083P0011X with license number 19748 (MS). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Liza De Olazo Banaag Md (Owner)
- NPI
- 1558497040
- Provider Name
- LIZA DE OLAZO BANAAG, M. D., P. A.
- Entity Type
- Organization
- Location Address
- 965 J K AVENT DR SUITE 100-A GRENADA, MS 38901
- Location Phone
- (662) 227-7446
- Mailing Address
- PO BOX 2329 GRENADA, MS 38902
- Mailing Phone
- (832) 646-5492
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-26-2007
- Last Update Date
- 01-25-2008
- 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 Undersea and Hyperbaric Medicine
- Taxonomy Code
- 2083P0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19748
- License State
- MS
- Taxonomy Description
- A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
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.
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 |
|---|---|---|---|
| G79717 | MEDICARE UPIN (02) | TX | |
| 00113J | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
Reviews for LIZA DE OLAZO BANAAG, M. D., P. A.
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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 | 5 | 5 | 8 | 4 | 9 | 7 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 8 | 9 | 14 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 8 + 9 + 1 + 4 + 0 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1558497040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144478512 | GRENADA ADULT HEALTHCARE CLINIC PC. Organization | Clinic/Center (Primary Care) | 965 J K AVENT DR SUITE 106 GRENADA, MS 38901 (662) 227-6450 |
| 1912928086 | DR. JUSTICE AARON GONDWE M.D. Individual | Internal Medicine (Infectious Disease) | 965 J K AVENT DR SUITE 106 GRENADA, MS 38901 (662) 227-6450 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558497040, enumerated in the NPI registry as an "organization" on February 26, 2007
The provider is located at 965 J K Avent Dr Suite 100-a Grenada, Ms 38901 and the phone number is (662) 227-7446
This medical organization specializes in Preventive Medicine with taxonomy code 2083P0011X with a focus in Undersea and Hyperbaric Medicine
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 February 26, 2007. 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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