MR. JACQUE ARLIN BOUTWELL JR. CFA
NPI 1013062405
Specialist/Technologist, Other - Surgical Assistant in Elkhart, IN
NPI Status: Active since January 24, 2007
Contact Information
3301 COUNTY RD 6 E
ELKHART, IN
ZIP 46514
Phone: (574) 214-7504
Fax: (574) 262-3214
- Individual
- Male
- Specialist/Technologist, Other
- Surgical Assistant
About JACQUE BOUTWELL
This page provides the complete NPI Profile along with additional information for Jacque Boutwell, a provider established in Elkhart, Indiana with a medical specialization in Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1013062405 assigned on January 2007. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1013062405
- Provider Name
- MR. JACQUE ARLIN BOUTWELL JR. CFA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3301 COUNTY RD 6 E ELKHART, IN 46514
- Location Phone
- (574) 214-7504
- Location Fax
- (574) 262-3214
- Mailing Address
- 5146 RELIABLE PKWY CHICAGO, IL 60686
- Mailing Phone
- (574) 214-7504
- Mailing Fax
- (574) 262-3214
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 11-25-2014
- 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
Specialist/Technologist, Other Surgical Assistant
- Taxonomy Code
- 246ZC0007X
- Type
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy Description
- A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
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 | 246ZS0410X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
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.
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 |
|---|---|---|---|
| 000000577411 | OTHER (01) | IN | ANTHEM BCBS |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013062405, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013062405, enumerated as an "individual" on January 24, 2007.
The provider is located at 3301 COUNTY RD 6 E ELKHART, IN 46514 and the phone number is (574) 214-7504.
Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.
The provider might be accepting Accepts: Blue Cross Blue Shield, Anthem Blue Cross,. Please consult your insurance carrier or call the provider to verify.
