MISSISSIPPI COUNTY SURGICAL ASSN
NPI 1700921293
Surgery in Blytheville, AR

NPI Status: Active since February 21, 2007

Contact Information

1100 MEDICAL DR STE D
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 762-1208
Fax: (870) 762-6588

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  • Organization
  • Surgery

About MISSISSIPPI COUNTY SURGICAL ASSN

This page provides the complete NPI Profile along with additional information for Mississippi County Surgical Assn, a provider established in Blytheville, Arkansas operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1700921293 assigned on February 2007. The practitioner's primary taxonomy code is 208600000X with license number C4476 (AR). 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. Raymond Scott Fergus Md (President)

NPI
1700921293
Provider Name
MISSISSIPPI COUNTY SURGICAL ASSN
Entity Type
Organization
Location Address
1100 MEDICAL DR STE D BLYTHEVILLE, AR 72315
Location Phone
(870) 762-1208
Location Fax
(870) 762-6588
Mailing Address
PO BOX 186 BLYTHEVILLE, AR 72316
Mailing Phone
(870) 762-1208
Mailing Fax
(870) 762-6588
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2007
Last Update Date
04-14-2008
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A surgeon like Mississippi County Surgical Assn treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
C4476
License State
AR
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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.

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. RAYMOND SCOTT FERGUS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(870) 762-1208

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
57329MEDICARE ID-TYPE UNSPECIFIED (04)ARMEDICARE

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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.
1700921293
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001822218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 2 + 2 + 2 + 1 + 8 + 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 1700921293 is valid because the calculated check digit 3 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 1700921293, enumerated in the NPI registry as an "organization" on February 21, 2007

The provider is located at 1100 Medical Dr Ste D Blytheville, Ar 72315 and the phone number is (870) 762-1208

This medical organization specializes in Surgery with taxonomy code 208600000X

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 21, 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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