TOR ERIK WILLIAM WALLSTROM M.D.
NPI 1700802964
Family Medicine in Yuma, AZ

NPI Status: Active since July 14, 2006

Contact Information

1394 W 16TH ST
YUMA, AZ
ZIP 85364
Phone: (928) 539-0055
Fax: (928) 539-0053

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  • Individual
  • Male
  • Family Medicine

About TOR ERIK WALLSTROM

This page provides the complete NPI Profile along with additional information for Tor Erik Wallstrom, a primary care provider established in Yuma, Arizona with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1700802964 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 25545 (AZ). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1700802964
Provider Name
TOR ERIK WILLIAM WALLSTROM M.D.
Gender
Male
Entity Type
Individual
Location Address
1394 W 16TH ST YUMA, AZ 85364
Location Phone
(928) 539-0055
Location Fax
(928) 539-0053
Mailing Address
1394 W 16TH ST YUMA, AZ 85364
Mailing Phone
(928) 539-0055
Mailing Fax
(928) 539-0053
Is Sole Proprietor?
No
Enumeration Date
07-14-2006
Last Update Date
02-10-2012
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A primary care provider (PCP) like Tor Erik Wallstrom sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
25545
License State
AZ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
469024001MEDICAID (05)AZ 
H05396MEDICARE UPIN (02)AZ 
72718MEDICARE ID-TYPE UNSPECIFIED (04)AZ 

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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.
1700802964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001604912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 0 + 4 + 9 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1700802964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245226398NORTHSIDE MEDICAL CLINIC WALK IN LLC
Organization
Clinic/Center (Urgent Care)1394 W 16TH ST
YUMA, AZ 85364
(928) 539-0055
1679596134 DANIEL R ORTIZ PA-C
Individual
Physician Assistant1394 W 16TH ST
YUMA, AZ 85364
(928) 539-0055
1265520977 RICK G CLARK DO
Individual
Family Medicine1394 W 16TH ST
YUMA, AZ 85364
(928) 539-0055
1780154542 SARAH MASAKO DE VERA PA-C
Individual
Physician Assistant (Medical)1394 W 16TH ST
YUMA, AZ 85364
(928) 539-0055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700802964, enumerated in the NPI registry as an "individual" on July 14, 2006

The provider is located at 1394 W 16th St Yuma, Az 85364 and the phone number is (928) 539-0055

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

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 July 14, 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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