MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC
NPI 1053597237
Radiology - Diagnostic Radiology in Burley, ID

NPI Status: Active since January 17, 2008

Contact Information

1501 HILAND AVE
BURLEY, ID
ZIP 83318
Phone: (801) 284-1755
Fax: (801) 262-3897

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  • Organization
  • Radiology
  • Diagnostic Radiology

About MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC

This page provides the complete NPI Profile along with additional information for Mountain Medical Physician Specialists Of Idaho Pc, a provider established in Burley, Idaho operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1053597237 assigned on January 2008. The practitioner's primary taxonomy code is 2085R0202X with license number C176456 (ID). 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 Clark A Davis (Ceo)

NPI
1053597237
Provider Name
MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC
Entity Type
Organization
Location Address
1501 HILAND AVE BURLEY, ID 83318
Location Phone
(801) 284-1755
Location Fax
(801) 262-3897
Mailing Address
5444 GREEN ST MURRAY, UT 84123
Mailing Phone
(801) 284-1755
Mailing Fax
(801) 262-3897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2008
Last Update Date
11-12-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
C176456
License State
ID
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X MULTIPLE 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.

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

CLARK A DAVIS

Authorized Official Title
CEO
Authorized Official Phone
(801) 284-1705

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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 1053597237, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

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 + 1 + 0 + 9 + 1 + 4 + 2 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053597237.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Body Imaging)
1501 HILAND AVE
BURLEY, ID 83318
Family Medicine
1501 HILAND AVE
BURLEY, ID 83318
Emergency Medicine
1501 HILAND AVE
BURLEY, ID 83318
Nurse Anesthetist, Certified Registered
1501 HILAND AVE
BURLEY, ID 83318
Dietitian, Registered
1501 HILAND AVE, CASSIA REGIONAL MEDICAL CENTER
BURLEY, ID 83318
Internal Medicine
1501 HILAND AVE
BURLEY, ID 83318
Family Medicine
1501 HILAND AVE
BURLEY, ID 83318
Nurse Anesthetist, Certified Registered
1501 HILAND AVE
BURLEY, ID 83318
Physical Therapist
1501 HILAND AVE
BURLEY, ID 83318
Physical Therapist
1501 HILAND AVE, PHYSICAL THERAPY
BURLEY, ID 83318
Physical Therapist
1501 HILAND AVE
BURLEY, ID 83318
Clinical Medical Laboratory
1501 HILAND AVE, SUITE J
BURLEY, ID 83318
Dietitian, Registered
1501 HILAND AVE
BURLEY, ID 83318
Clinic/Center (Multi-Specialty)
1501 HILAND AVE
BURLEY, ID 83318
Family Medicine
1501 HILAND AVE, STE L3
BURLEY, ID 83318
Physical Therapy Assistant
1501 HILAND AVE
BURLEY, ID 83318
Radiology Practitioner Assistant
1501 HILAND AVE, MEDICAL IMAGING DEPARTMENT
BURLEY, ID 83318
Occupational Therapist
1501 HILAND AVE
BURLEY, ID 83318
Speech-Language Pathologist
1501 HILAND AVE
BURLEY, ID 83318
Speech-Language Pathologist
1501 HILAND AVE
BURLEY, ID 83318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053597237, enumerated as an "organization" on January 17, 2008.

The provider is located at 1501 HILAND AVE BURLEY, ID 83318 and the phone number is (801) 284-1755.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.