THE DOC AT YOUR DOOR,LLC
NPI 1104138882
Clinic/Center - Emergency Care in Kaukauna, WI

NPI Status: Active since July 09, 2010

Contact Information

N9554 HIGHLINE RD
KAUKAUNA, WI
ZIP 54130
Phone: (920) 277-9716
Fax: (920) 766-6802

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  • Organization
  • Clinic/Center
  • Emergency Care

About THE DOC AT YOUR DOOR,LLC

This page provides the complete NPI Profile along with additional information for The Doc At Your Door,llc, a provider established in Kaukauna, Wisconsin operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1104138882 assigned on July 2010. The practitioner's primary taxonomy code is 261QE0002X with license number 32560 (WI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Patricia M Demery M.d. (President)

NPI
1104138882
Provider Name
THE DOC AT YOUR DOOR,LLC
Entity Type
Organization
Location Address
N9554 HIGHLINE RD KAUKAUNA, WI 54130
Location Phone
(920) 277-9716
Location Fax
(920) 766-6802
Mailing Address
N9554 HIGHLINE RD KAUKAUNA, WI 54130
Mailing Phone
(920) 277-9716
Mailing Fax
(920) 766-6802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2010
Last Update Date
11-29-2010
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities
License No.
32560
License State
WI

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

DR. PATRICIA M DEMERY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(920) 277-9716

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
WI1790OTHER (01)WIMEDICARE PTAN
WI1789OTHER (01)WIMEDICARE PTAN
31750000MEDICAID (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 1104138882, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 0 → 0 1 → 2 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 3 + 1 + 6 + 8 + 1 + 6 + 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 1104138882.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
N9554 HIGHLINE RD
KAUKAUNA, WI 54130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104138882, enumerated as an "organization" on July 09, 2010.

The provider is located at N9554 HIGHLINE RD KAUKAUNA, WI 54130 and the phone number is (920) 277-9716.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.

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