SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
NPI 1699028613
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sault Sainte Marie, MI

NPI Status: Active since October 16, 2012

Contact Information

333 MAGAZINE ST
STE 101
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 259-0244
Fax: (906) 259-0247

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  • Organization
  • Otolaryngology
  • Otolaryngology/Facial Plastic Surgery

About SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC

This page provides the complete NPI Profile along with additional information for Sault Otolaryngology & Facial Plastic Surgery Pc, a provider established in Sault Sainte Marie, Michigan operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1699028613 assigned on October 2012. The practitioner's primary taxonomy code is 207YX0905X with license number 5101015234 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. Sault Otolaryngology & Facial Plastic Surgery Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mark A Wallace Do (President)

NPI
1699028613
Provider Name
SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
Entity Type
Organization
Location Address
333 MAGAZINE ST STE 101 SAULT SAINTE MARIE, MI 49783
Location Phone
(906) 259-0244
Location Fax
(906) 259-0247
Mailing Address
333 MAGAZINE ST STE 101 SAULT SAINTE MARIE, MI 49783
Mailing Phone
(906) 259-0244
Mailing Fax
(906) 259-0247
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2012
Last Update Date
10-16-2012
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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

Otolaryngology Otolaryngology/Facial Plastic Surgery

Taxonomy Code
207YX0905X
Type
Allopathic & Osteopathic Physicians
License No.
5101015234
License State
MI
Taxonomy Description
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MARK A WALLACE DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(808) 937-7037

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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.
1699028613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189021662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 0 + 2 + 1 + 6 + 6 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1699028613 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194813964DR. TIMOTHY EDWARD O'CONNOR M.D.
Individual
Family Medicine333 MAGAZINE ST SUITE 102
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1184712432DR. JEFFREY PETERMAN M.D.
Individual
Family Medicine333 MAGAZINE ST SUITE 102
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1255514766JOSEPH M. GARLINGHOUSE MD PC
Organization
Family Medicine333 MAGAZINE ST SUITE 102
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1952585382PAULA RECHNER MD, PC
Organization
Specialist333 MAGAZINE ST SUITE 101
SAULT SAINTE MARIE, MI 49783
(906) 253-9770
1225346281TIMOTHY OCONNOR MD PC
Organization
Respite Care333 MAGAZINE ST STE 102
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1952591828DR. MARK ALLEN WALLACE D.O.
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)333 MAGAZINE ST SUITE 101
SAULT SAINTE MARIE, MI 49783
(906) 259-0244
1316298326JEFFREY R PETERMAN MD PC
Organization
Respite Care333 MAGAZINE ST SUITE 102
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1487034963 JESSIE ANNE SKOG
Individual
Audiologist333 MAGAZINE ST SUITE #3
SAULT SAINTE MARIE, MI 49783
(906) 632-3277
1588851091ALPINE MEDICAL SUPPLY & REHAB
Organization
Durable Medical Equipment & Medical Supplies333 MAGAZINE ST STE 103
SAULT SAINTE MARIE, MI 49783
(906) 632-4400
1336746262MYMICHIGAN MEDICAL CENTER SAULT
Organization
Clinic/Center (Rural Health)333 MAGAZINE ST
SAULT SAINTE MARIE, MI 49783
(906) 253-9374
1669427753DR. PAULA M. RECHNER M.D.
Individual
Surgery333 MAGAZINE ST STE #101
SAULT SAINTE MARIE, MI 49783
(906) 253-9770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699028613, enumerated in the NPI registry as an "organization" on October 16, 2012

The provider is located at 333 Magazine St Ste 101 Sault Sainte Marie, Mi 49783 and the phone number is (906) 259-0244

This medical organization specializes in Otolaryngology with taxonomy code 207YX0905X with a focus in Otolaryngology/Facial Plastic Surgery

This NPI record was last updated on October 16, 2012. 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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