MICHAEL SULLIVAN
NPI 1104215136
Perfusionist in Cape Girardeau, MO

NPI Status: Active since January 14, 2015

Contact Information

137 FOUNDERS WAY CT
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 450-8189

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  • Individual
  • Male
  • Perfusionist

About MICHAEL SULLIVAN

This page provides the complete NPI Profile along with additional information for Michael Sullivan, a provider established in Cape Girardeau, Missouri with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1104215136 assigned on January 2015. The practitioner's primary taxonomy code is 242T00000X with license number 20140118235 (MO). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1104215136
Provider Name
MICHAEL SULLIVAN
Gender
Male
Entity Type
Individual
Location Address
137 FOUNDERS WAY CT CAPE GIRARDEAU, MO 63701
Location Phone
(573) 450-8189
Mailing Address
137 FOUNDERS WAY CT CAPE GIRARDEAU, MO 63701
Mailing Phone
(573) 450-8189
Is Sole Proprietor?
No
Enumeration Date
01-14-2015
Last Update Date
01-14-2015
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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

Perfusionist

Taxonomy Code
242T00000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
20140118235
License State
MO
Taxonomy Description
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

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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 1104215136, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 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 0 → 0 2 → 4 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 4 + 1 + 1 + 0 + 1 + 6 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104215136.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104215136, enumerated as an "individual" on January 14, 2015.

The provider is located at 137 FOUNDERS WAY CT CAPE GIRARDEAU, MO 63701 and the phone number is (573) 450-8189.

Perfusionist with taxonomy code 242T00000X.