DR. JACOB DANIEL JOHNSON DO
NPI 1962760124
Surgery - Vascular Surgery in Taylor, MI
NPI Status: Active since April 25, 2012
Contact Information
15411 PARK VILLAGE BLVD
TAYLOR, MI
ZIP 48180
Phone: (646) 714-1984
- Individual
- Male
- Surgery
- Vascular Surgery
About JACOB JOHNSON
This page provides the complete NPI Profile along with additional information for Jacob Johnson, a provider established in Taylor, Michigan with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1962760124 assigned on April 2012. The practitioner's primary taxonomy code is 2086S0129X with license number 5101020933 (MI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1962760124
- Provider Name
- DR. JACOB DANIEL JOHNSON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15411 PARK VILLAGE BLVD TAYLOR, MI 48180
- Location Phone
- (646) 714-1984
- Mailing Address
- 15411 PARK VILLAGE BLVD TAYLOR, MI 48180
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-25-2012
- Last Update Date
- 11-21-2015
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101020933
- License State
- MI
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 5101020933 (MI) |
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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 | 9 | 6 | 2 | 7 | 6 | 0 | 1 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 14 | 6 | 0 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 4 + 6 + 0 + 1 + 4 + 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 = 4 | 4 | ||||||||
The NPI number 1962760124 is valid because the calculated check digit 4 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 1962760124, enumerated in the NPI registry as an "individual" on April 25, 2012
The provider is located at 15411 Park Village Blvd Taylor, Mi 48180 and the phone number is (646) 714-1984
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
This NPI record was last updated on April 25, 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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