EMERSON HEALTHCARE (SANDAL, INC) NPI 1003017492

Preferred Provider Organization in Parkersburg, WV

NPI 1003017492 Organization Preferred Provider Organization

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 NameEMERSON HEALTHCARE (SANDAL, INC)
Provider Location Address2910 EMERSON AVE PARKERSBURG, WV 26104
Provider Mailing Address2910 EMERSON AVE PARKERSBURG, WV 26104
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEMERSON HEALTHCARE
Other Name TypeDoing Business As (3)
Enumeration Date05-31-2007
Last Update Date11-08-2007


Primary Taxonomy

Taxonomy Code305R00000X
ClassificationPreferred Provider Organization
TypeManaged Care Organizations
License No.14444
License StateWV
Taxonomy DescriptionA 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

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Mailing Address

EMERSON HEALTHCARE
2910 EMERSON AVE
PARKERSBURG, WV
ZIP 26104
Phone: (304) 428-1900
Fax: (304) 428-1976



Authorized Official

Authorized Official NameDR. ALLAN DIP FIGUEROA M.D.
Authorized Official TitlePHYSICIAN
Authorized Official Phone(304) 428-1900

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
0049665000MEDICAID (05)WV
C35136MEDICARE UPIN (02)WV
0503606MEDICARE 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.
1003017492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114418
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 = 22

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 Practitioner2910 EMERSON AVE
PARKERSBURG, WV 26104
(304) 428-1900
1205028040 STEPHEN A. SCHEMENAUER PA
Individual
Physician Assistant2910 EMERSON AVE
PARKERSBURG, WV 26104
(304) 428-1900
1467101618 LAURA L LAMP PRSS
Individual
Peer Specialist2910 EMERSON AVE
PARKERSBURG, WV 26104
(304) 239-5355
1407591787 BENJAMIN BERRY PRSS
Individual
Peer Specialist2910 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 Worker2910 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.