PRUDENICO AVENDANIO MDPA
NPI 1609821453
Radiology - Diagnostic Radiology in Winnsboro, TX

NPI Status: Active since May 23, 2006

Contact Information

719 W COKE RD
WINNSBORO, TX
ZIP 75494
Phone: (903) 342-5227

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  • Organization
  • Radiology
  • Diagnostic Radiology

About PRUDENICO AVENDANIO MDPA

This page provides the complete NPI Profile along with additional information for Prudenico Avendanio Mdpa, a provider established in Winnsboro, Texas operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1609821453 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X with license number F4745 (TX). The provider is registered as an organization and their NPI record was last updated 17 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. Prudencio C Avendanio Md (President)

NPI
1609821453
Provider Name
PRUDENICO AVENDANIO MDPA
Entity Type
Organization
Location Address
719 W COKE RD WINNSBORO, TX 75494
Location Phone
(903) 342-5227
Mailing Address
PO BOX 8337 AMARILLO, TX 79114
Mailing Phone
(806) 355-6593
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
04-20-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
F4745
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

F4745 (TX)
22085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

F4745 (TX)

Group Taxonomy 193400000X MULTIPLE 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.

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.

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

DR. PRUDENCIO C AVENDANIO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(903) 342-0921

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
00JP90OTHER (01)TXBLUE CROSS
110999OTHER (01)SUPERIOR
=========OTHER (01)TAX ID #
E07987MEDICARE UPIN (02) 
00JP90MEDICARE ID-TYPE UNSPECIFIED (04) 

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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.
1609821453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091622410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 2 + 2 + 4 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1609821453 is valid because the calculated check digit 3 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
1124071295MR. EDDIE L FONTENOT CRNA
Individual
Nurse Anesthetist, Certified Registered719 W COKE RD
WINNSBORO, TX 75494
(903) 707-4768
1174566988 TROY L MILLER MD
Individual
Emergency Medicine719 W COKE RD
WINNSBORO, TX 75494
(903) 342-5227
1033152517 DONALD G MIDDLETON MD
Individual
Emergency Medicine719 W COKE RD
WINNSBORO, TX 75494
(903) 342-5227
1588674246MR. MICHAEL WAYNE PHILLIPS CRNA
Individual
Nurse Anesthetist, Certified Registered719 W COKE RD PRESBYTERIAN HOSPITAL WINNSBORO
WINNSBORO, TX 75494
(903) 342-5227
1083700447DR. KIM FRANCESCA BURLINGHAM MD
Individual
Pediatrics719 W COKE RD SUITE 1
WINNSBORO, TX 75494
(903) 342-3710
1194815886DR. ROBERT VAN BLAIR MD
Individual
Surgery719 W COKE RD SUITE 1, BLDG 1
WINNSBORO, TX 75494
(903) 342-3710
1639232952 JUNE ELIZABETH BEAMER MD
Individual
Dermatology719 W COKE RD BUILDING 3 SUITE 3
WINNSBORO, TX 75494
(903) 342-3376
1245377944MRS. VICKI MILLER JOHNS RD,LD,CDE
Individual
Dietitian, Registered719 W COKE RD
WINNSBORO, TX 75494
(903) 342-3981
1609184555ALBERTO R DE LA CRUZ MD PA
Organization
Surgery719 W COKE RD STE.7
WINNSBORO, TX 75494
(903) 342-4242
1659308948MOTHER FRANCES HOSPITAL-WINNSBORO
Organization
General Acute Care Hospital (Critical Access)719 W COKE RD
WINNSBORO, TX 75494
(903) 342-3963
1538241195MOTHER FRANCES HOSPITAL-WINNSBORO
Organization
Medicare Defined Swing Bed Unit719 W COKE RD
WINNSBORO, TX 75494
(903) 342-3963
1770633364MOTHER FRANCES HOSPITAL-WINNSBORO
Organization
Clinic/Center (Ambulatory Surgical)719 W COKE RD
WINNSBORO, TX 75494
(903) 342-3963
1033445960MOTHER FRANCES HOSPITAL-WINNSBORO
Organization
General Acute Care Hospital719 W COKE RD
WINNSBORO, TX 75494
(903) 342-3963
1750797536JUNE E BEAMER MD PLLC
Organization
Dermatology719 W COKE RD BLDG 3, SUITE 3
WINNSBORO, TX 75494
(903) 342-3376
1093755621 PAUL DRIVER DO
Individual
Internal Medicine719 W COKE RD
WINNSBORO, TX 75494
(903) 342-5227
1558396549SLEEPY ANESTHESIA ASSOCIATES PLLC
Organization
Nurse Anesthetist, Certified Registered719 W COKE RD PRESBYTERIAN HOSPITAL WINNSBORO
WINNSBORO, TX 75494
(903) 342-5227
1154307551DR. DAVID HARRISON M.D.
Individual
Emergency Medicine719 W COKE RD
WINNSBORO, TX 75494
(903) 342-5227
1700282357ROCKY MOUNTAIN HOLDINGS, LLC
Organization
Ambulance (Air Transport)719 W COKE RD
WINNSBORO, TX 75494
(903) 975-1509
1073959102BART PRUITT DO
Organization
Clinic/Center (Primary Care)719 W COKE RD MOB 2
WINNSBORO, TX 75494
(903) 342-9800
1326434507DR. BART PRUITT, PLLC
Organization
Clinic/Center (Primary Care)719 W COKE RD MOB 2
WINNSBORO, TX 75494
(903) 342-9800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609821453, enumerated in the NPI registry as an "organization" on May 23, 2006

The provider is located at 719 W Coke Rd Winnsboro, Tx 75494 and the phone number is (903) 342-5227

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 May 23, 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].
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.