RUSSELLVILLE GASTROENTEROLOGY CLINIC PA
NPI 1750579488
Clinic/Center - Medical Specialty in Russellville, AR
NPI Status: Active since October 09, 2007
Contact Information
1611 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 890-5881
Fax: (479) 890-5092
- Organization
- Clinic/Center
- Medical Specialty
About RUSSELLVILLE GASTROENTEROLOGY CLINIC PA
This page provides the complete NPI Profile along with additional information for Russellville Gastroenterology Clinic Pa, a provider established in Russellville, Arkansas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1750579488 assigned on October 2007. The practitioner's primary taxonomy code is 261QM2500X with license number C6004 (AR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Denise Robertson (Owner)
- NPI
- 1750579488
- Provider Name
- RUSSELLVILLE GASTROENTEROLOGY CLINIC PA
- Entity Type
- Organization
- Location Address
- 1611 W MAIN ST RUSSELLVILLE, AR 72801
- Location Phone
- (479) 890-5881
- Location Fax
- (479) 890-5092
- Mailing Address
- 1611 W MAIN ST RUSSELLVILLE, AR 72801
- Mailing Phone
- (479) 890-5881
- Mailing Fax
- (479) 890-5092
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 01-22-2015
- Code Navigator
Location Map
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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- C6004
- License State
- AR
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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) |
|---|---|---|---|---|
| 1 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | (AR) |
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 |
|---|---|---|---|
| D84067 | MEDICARE UPIN (02) | ||
| D84067 | MEDICARE UPIN (02) | AR | |
| 112265001 | MEDICAID (05) | AR |
Reviews for RUSSELLVILLE GASTROENTEROLOGY CLINIC PA
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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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 7 | 9 | 4 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 7 | 18 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 1 + 8 + 4 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1750579488 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245345057 | DR. RONALD LYNN WHITE M.D. Individual | Specialist | 1611 W MAIN ST RUSSELLVILLE, AR 72801 (479) 890-5881 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750579488, enumerated in the NPI registry as an "organization" on October 09, 2007
The provider is located at 1611 W Main St Russellville, Ar 72801 and the phone number is (479) 890-5881
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
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 October 09, 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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