EMERSON HEALTHCARE (SANDAL, INC) NPI 1003017492
Preferred Provider Organization in Parkersburg, WV
NPI Profile for EMERSON HEALTHCARE (SANDAL, INC)
Emerson Healthcare (sandal, Inc) is a provider established in Parkersburg, West Virginia specializing in preferred provider organization. The NPI number of Emerson Healthcare (sandal, Inc) is 1003017492 and was assigned on May 2007. The practitioner's primary taxonomy code is 305R00000X with license number 14444 (WV). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Emerson Healthcare. The authorized official of this NPI record is Dr. Allan Dip Figueroa M.d. (Physician)
| NPI | 1003017492 |
| Provider Name | EMERSON HEALTHCARE (SANDAL, INC) |
| Provider Location Address | 2910 EMERSON AVE PARKERSBURG, WV 26104 |
| Provider Mailing Address | 2910 EMERSON AVE PARKERSBURG, WV 26104 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | EMERSON HEALTHCARE |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 05-31-2007 |
| Last Update Date | 11-08-2007 |
Primary Taxonomy
| Taxonomy Code | 305R00000X |
| Classification | Preferred Provider Organization |
| Type | Managed Care Organizations |
| License No. | 14444 |
| License State | WV |
| Taxonomy Description | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Business Address
EMERSON HEALTHCARE
2910 EMERSON AVE
PARKERSBURG, WV
ZIP 26104
Phone: (304) 428-1900
Fax: (304) 428-1976
Mailing Address
EMERSON HEALTHCARE
2910 EMERSON AVE
PARKERSBURG, WV
ZIP 26104
Phone: (304) 428-1900
Fax: (304) 428-1976
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 0049665000 | MEDICAID (05) | WV |
| C35136 | MEDICARE UPIN (02) | WV |
| 0503606 | MEDICARE PIN (08) | WV |
NPI Validation Check Digit Calculation
The following table explains step by step the 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 | 0 | 0 | 3 | 0 | 1 | 7 | 4 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 4 + 1 + 8 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1003017492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629067905 | MARION LORRAINE CULBERTSON NP Individual | Nurse Practitioner | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 428-1900 |
| 1205028040 | STEPHEN A. SCHEMENAUER PA Individual | Physician Assistant | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 428-1900 |
| 1467101618 | LAURA L LAMP PRSS Individual | Peer Specialist | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 239-5355 |
| 1407591787 | BENJAMIN BERRY PRSS Individual | Peer Specialist | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 239-5355 |
| 1700521036 | ARIANNA LANNIGAN PRSS, CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 239-5355 |
| 1912642190 | PATRICE POOLER MA Individual | Social Worker | 2910 EMERSON AVE PARKERSBURG, WV 26104 (304) 239-5355 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Emerson Healthcare is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.