SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC
NPI 1053447243
Podiatrist - Foot & Ankle Surgery in Gilbert, AZ

NPI Status: Active since February 24, 2007

Contact Information

2730 S VAL VISTA DR
SUITE 158
GILBERT, AZ
ZIP 85296
Phone: (480) 889-7055
Fax: (480) 889-7054

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC

This page provides the complete NPI Profile along with additional information for Spectrum Falls Foot & Ankle Specialists, Pc, a provider established in Gilbert, Arizona operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1053447243 assigned on February 2007. The practitioner's primary taxonomy code is 213ES0103X with license number 0484 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Clark J Fullmer Ii Dpm (Physician)

NPI
1053447243
Provider Name
SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC
Entity Type
Organization
Location Address
2730 S VAL VISTA DR SUITE 158 GILBERT, AZ 85296
Location Phone
(480) 889-7055
Location Fax
(480) 889-7054
Mailing Address
2730 S VAL VISTA DR SUITE 158 GILBERT, AZ 85296
Mailing Phone
(480) 889-7055
Mailing Fax
(480) 889-7054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2007
Last Update Date
12-13-2007
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
0484
License State
AZ

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CLARK J FULLMER II DPM

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(480) 889-7055

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
5926920001MEDICARE NSC (07)AZ 
114197MEDICARE PIN (08)AZ 
U69071MEDICARE UPIN (02)AZ 

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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 1053447243, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 4 → 8 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 4 + 1 + 4 + 2 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053447243.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
2730 S VAL VISTA DR, SUITE 138, BLDG. 7
GILBERT, AZ 85296
Family Medicine
2730 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85296
Family Medicine
2730 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85296
Family Medicine
2730 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85296
Family Medicine
2730 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85296
Dentist (General Practice)
2730 S VAL VISTA DR, STE. 106
GILBERT, AZ 85296
Social Worker (Clinical)
2730 S VAL VISTA DR, SUITE 135
GILBERT, AZ 85296
Family Medicine
2730 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85296
Psychiatry & Neurology (Neurology)
2730 S VAL VISTA DR, SUITE #146
GILBERT, AZ 85296
Dentist (General Practice)
2730 S VAL VISTA DR, STE. 106
GILBERT, AZ 85296
Neuromusculoskeletal Medicine & OMM
2730 S VAL VISTA DR, SUITE 138 BLDG 7
GILBERT, AZ 85296

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053447243, enumerated as an "organization" on February 24, 2007.

The provider is located at 2730 S VAL VISTA DR SUITE 158 GILBERT, AZ 85296 and the phone number is (480) 889-7055.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.