WAYNE DIEDRICK PA
NPI 1083626386
Physician Assistant - Surgical in Hollywood, FL

NPI Status: Active since August 13, 2006

Contact Information

3501 JOHNSON ST
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 987-2020

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About WAYNE DIEDRICK

This page provides the complete NPI Profile along with additional information for Wayne Diedrick, a provider established in Hollywood, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1083626386 assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA3021 (FL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1083626386
Provider Name
WAYNE DIEDRICK PA
Gender
Male
Entity Type
Individual
Location Address
3501 JOHNSON ST HOLLYWOOD, FL 33021
Location Phone
(954) 987-2020
Mailing Address
PO BOX 862233 ORLANDO, FL 32886
Mailing Phone
(954) 276-5575
Is Sole Proprietor?
Yes
Enumeration Date
08-13-2006
Last Update Date
07-08-2007
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA3021
License State
FL

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.

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
E3875VMEDICARE ID-TYPE UNSPECIFIED (04)FL 

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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 1083626386, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 2 + 2 + 1 + 2 + 3 + 1 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1083626386.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Radiology (Vascular & Interventional Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Radiology (Neuroradiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Radiology (Pediatric Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Radiology (Vascular & Interventional Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pediatrics
3501 JOHNSON ST, MEDICAL STAFF OFFICE
HOLLYWOOD, FL 33021
Family Medicine
3501 JOHNSON ST, TEAM HEALTH
HOLLYWOOD, FL 33021
Nurse Practitioner (Neonatal)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Nurse Practitioner (Neonatal)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Physician Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083626386, enumerated as an "individual" on August 13, 2006.

The provider is located at 3501 JOHNSON ST HOLLYWOOD, FL 33021 and the phone number is (954) 987-2020.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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