DR. MARY PATRICIA ELDRIDGE M.D.
NPI 1063673903
General Practice in Kenosha, WI

NPI Status: Active since June 23, 2008

Contact Information

1400 75TH ST
SUITE #5
KENOSHA, WI
ZIP 53143
Phone: (262) 656-1911
Fax: (888) 316-8458

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  • Individual
  • Female
  • General Practice

About MARY ELDRIDGE

This page provides the complete NPI Profile along with additional information for Mary Eldridge, a primary care provider established in Kenosha, Wisconsin with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1063673903 assigned on June 2008. The practitioner's primary taxonomy code is 208D00000X with license number 54685-20 (WI). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1063673903
Provider Name
DR. MARY PATRICIA ELDRIDGE M.D.
Gender
Female
Entity Type
Individual
Location Address
1400 75TH ST SUITE #5 KENOSHA, WI 53143
Location Phone
(262) 656-1911
Location Fax
(888) 316-8458
Mailing Address
1400 75TH ST SUITE #5 KENOSHA, WI 53143
Mailing Phone
(262) 656-1911
Mailing Fax
(888) 316-8458
Is Sole Proprietor?
Yes
Enumeration Date
06-23-2008
Last Update Date
09-19-2015
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A primary care provider (PCP) like Mary Eldridge sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
54685-20
License State
WI
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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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 1063673903, 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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
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 6 → 12 → 3 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 2 + 7 + 6 + 9 + 0 + 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 1063673903.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Clinic/Center (Medical Specialty)
1400 75TH ST, SUITE 5
KENOSHA, WI 53143
Nurse Practitioner (Family)
1400 75TH ST
KENOSHA, WI 53143
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Counselor
1400 75TH ST
KENOSHA, WI 53143
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Social Worker
1400 75TH ST
KENOSHA, WI 53143
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063673903, enumerated as an "individual" on June 23, 2008.

The provider is located at 1400 75TH ST SUITE #5 KENOSHA, WI 53143 and the phone number is (262) 656-1911.

General Practice with taxonomy code 208D00000X.