MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.
NPI 1063865772
Clinic/Center in White Bear Lake, MN

NPI Status: Active since July 18, 2016

Contact Information

4465 WHITE BEAR PKWY
SUITE 2
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 653-0062
Fax: (651) 653-0288

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  • Organization
  • Clinic/Center

About MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.

This page provides the complete NPI Profile along with additional information for Matthew Anderson, M.d. Obstetrics And Gynecology, P.a., a provider established in White Bear Lake, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063865772 assigned on July 2016. The practitioner's primary taxonomy code is 261Q00000X with license number 46328 (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Matthew W Anderson M.d. (President)

NPI
1063865772
Provider Name
MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.
Entity Type
Organization
Location Address
4465 WHITE BEAR PKWY SUITE 2 WHITE BEAR LAKE, MN 55110
Location Phone
(651) 653-0062
Location Fax
(651) 653-0288
Mailing Address
4465 WHITE BEAR PKWY SUITE 2 WHITE BEAR LAKE, MN 55110
Mailing Phone
(651) 653-0062
Mailing Fax
(651) 653-0288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2016
Last Update Date
07-18-2016
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
46328
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. MATTHEW W ANDERSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 653-0062

Reviews for MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.

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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 1063865772, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

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 + 6 + 6 + 1 + 0 + 7 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063865772.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physical Therapist
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Physical Therapist
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Physical Therapist
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Clinic/Center (Physical Therapy)
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Physician Assistant
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Obstetrics & Gynecology
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Obstetrics & Gynecology
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Internal Medicine
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063865772, enumerated as an "organization" on July 18, 2016.

The provider is located at 4465 WHITE BEAR PKWY SUITE 2 WHITE BEAR LAKE, MN 55110 and the phone number is (651) 653-0062.

Clinic/Center with taxonomy code 261Q00000X.