TYLER MASON GLENDRANGE MD
NPI 1720731623
General Practice in Kailua, HI

NPI Status: Active since January 31, 2022

Contact Information

6905 HARRIS AVE
BLDG. 6905
KAILUA, HI
ZIP 96734
Phone: (808) 257-3365

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  • Individual
  • Male
  • General Practice

About TYLER GLENDRANGE

This page provides the complete NPI Profile along with additional information for Tyler Glendrange, a primary care provider established in Kailua, Hawaii with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1720731623 assigned on January 2022. The practitioner's primary taxonomy code is 208D00000X with license number 0101279636 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1720731623
Provider Name
TYLER MASON GLENDRANGE MD
Gender
Male
Entity Type
Individual
Location Address
6905 HARRIS AVE BLDG. 6905 KAILUA, HI 96734
Location Phone
(808) 257-3365
Mailing Address
6905 HARRIS AVE, KAILUA, HI 96734 KAILUA, HI 96734
Mailing Phone
(808) 257-3365
Is Sole Proprietor?
No
Enumeration Date
01-31-2022
Last Update Date
03-11-2024
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A primary care provider (PCP) like Tyler Glendrange 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101279636
License State
VA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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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.
1720731623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740143264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 4 + 3 + 2 + 6 + 4 + 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 1720731623 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740957158 KYLE JAMES PEDERSON
Individual
Military Health Care Provider (Independent Duty Corpsman)6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1184185894DR. ALEXANDER STANTON JAHNCKE MD
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3100
1093056426 DAWN KABRICH WARD D.O.
Individual
Family Medicine6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1194236455 KEEGAN PATRICK FEES PA-C
Individual
Physician Assistant6905 HARRIS AVE
MCBH KANEOHE BAY, HI 96734
(808) 473-7551
1306591656 JOSEPH DODD MD
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1447784194 GIACOMO TOMASELLO
Individual
Family Medicine6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-2837
1447792619 BRIAN JOSHUA ROSS
Individual
Physician Assistant6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1063033983 HUU TRI VO
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-1571
1790361913 BAILEY WILLIAM CORSON MD
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(303) 775-4098
1023652294 SARAH ELIZABETH MEBANE PH.D.
Individual
Psychologist (Clinical)6905 HARRIS AVE
KAILUA, HI 96734
(808) 927-3365
1306475082 STEPHANIE LYNNE AMICK PA-C
Individual
Physician Assistant6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1740967017 NINA RADCLIFFE FNP-BC
Individual
Nurse Practitioner (Family)6905 HARRIS AVE
MCBH, HI 96734
(619) 822-7552
1659013829 BRITTANY COOK MD
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1629726245DR. JOHN WALTER COOK MD
Individual
General Practice6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1386039915 RAYNIER CRUZBORROTO PA-C
Individual
Physician Assistant6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365
1134719032 JESSICA LOFTON
Individual
Physician Assistant6905 HARRIS AVE
KAILUA, HI 96734
(808) 257-3365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720731623, enumerated in the NPI registry as an "individual" on January 31, 2022

The provider is located at 6905 Harris Ave Bldg. 6905 Kailua, Hi 96734 and the phone number is (808) 257-3365

The provider's speciality is General Practice with taxonomy code 208D00000X

This NPI record was last updated on January 31, 2022. 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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