SSM HEALTH DEAN MEDICAL GROUP - BEAVER DAM
NPI 1073557013
Durable Medical Equipment & Medical Supplies in Beaver Dam, WI

NPI Status: Active since June 16, 2006

Contact Information

705 S UNIVERSITY AVE
STE 500
BEAVER DAM, WI
ZIP 53916
Phone: (920) 887-3102
Fax: (920) 885-8788

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About SSM HEALTH DEAN MEDICAL GROUP - BEAVER DAM

This page provides the complete NPI Profile along with additional information for Ssm Health Dean Medical Group - Beaver Dam, a provider established in Beaver Dam, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1073557013 assigned on June 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ssm Health Dean Medical Group - Beaver Dam. The authorized official of this NPI record is Amy J Grinnell (Vice President - Finance)

NPI
1073557013
Provider Legal Name
DEAN HEALTH SYSTEMS, INC.
Other Organization Name
SSM HEALTH DEAN MEDICAL GROUP - BEAVER DAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
705 S UNIVERSITY AVE STE 500 BEAVER DAM, WI 53916
Location Phone
(920) 887-3102
Location Fax
(920) 885-8788
Mailing Address
705 S UNIVERSITY AVE STE 500 BEAVER DAM, WI 53916
Mailing Phone
(920) 887-3102
Mailing Fax
(920) 885-8788
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2006
Last Update Date
08-03-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
WI
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

AMY J GRINNELL

Authorized Official Title
VICE PRESIDENT - FINANCE
Authorized Official Phone
(608) 260-3586

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
1053358846MEDICAID (05)WI 

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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 1073557013, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 0 + 5 + 1 + 4 + 0 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073557013.

Other Providers at the Same Location


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

Physician Assistant
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Nurse Practitioner
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Family Medicine
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Ophthalmology
705 S UNIVERSITY AVE, SUITE 100
BEAVER DAM, WI 53916
Specialist
705 S UNIVERSITY AVE, SUITE 150
BEAVER DAM, WI 53916
Psychiatry & Neurology (Neurology)
705 S UNIVERSITY AVE, SUITE 380
BEAVER DAM, WI 53916
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Nurse Practitioner
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Obstetrics & Gynecology
705 S UNIVERSITY AVE, SUITE 300
BEAVER DAM, WI 53916
Family Medicine
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Orthopaedic Surgery
705 S UNIVERSITY AVE, STE 150
BEAVER DAM, WI 53916
Family Medicine
705 S UNIVERSITY AVE, STE 400
BEAVER DAM, WI 53916
Pharmacy (Community/Retail Pharmacy)
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Family Medicine
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Nurse Practitioner (Family)
705 S UNIVERSITY AVE, SUITE 300
BEAVER DAM, WI 53916
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Family Medicine
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Pharmacist
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Surgery
705 S UNIVERSITY AVE, 350
BEAVER DAM, WI 53916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073557013, enumerated as an "organization" on June 16, 2006.

The provider is located at 705 S UNIVERSITY AVE STE 500 BEAVER DAM, WI 53916 and the phone number is (920) 887-3102.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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