MERCY PHYSICIAN GROUP INC.
NPI 1104972983
Family Medicine - Adult Medicine in Nampa, ID

NPI Status: Active since January 26, 2007

Contact Information

1512 12TH AVE RD
NAMPA, ID
ZIP 83686
Phone: (208) 463-5000
Fax: (208) 463-5578

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  • Organization
  • Family Medicine
  • Adult Medicine

About MERCY PHYSICIAN GROUP INC.

This page provides the complete NPI Profile along with additional information for Mercy Physician Group Inc., a primary care provider established in Nampa, Idaho operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1104972983 assigned on January 2007. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Mercy Physician Group Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. B Lannie Checketts Cfo (Chief Financial Officer)

NPI
1104972983
Provider Name
MERCY PHYSICIAN GROUP INC.
Entity Type
Organization
Location Address
1512 12TH AVE RD NAMPA, ID 83686
Location Phone
(208) 463-5000
Location Fax
(208) 463-5578
Mailing Address
1512 12TH AVE RD NAMPA, ID 83686
Mailing Phone
(208) 463-5000
Mailing Fax
(208) 463-5578
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
04-14-2008
Code Navigator

A primary care provider (PCP) like Mercy Physician Group Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QA0000XAllopathic & Osteopathic Physicians

Family Medicine
Adolescent Medicine

 
2207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
3207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

 
4207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
5207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
6208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. B LANNIE CHECKETTS CFO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(208) 463-5531

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
1366549MEDICARE PIN (08) 

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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 1104972983, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 0 → 0 9 → 18 → 9 2 → 4 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 + 1 + 8 + 7 + 4 + 9 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104972983.

Other Providers at the Same Location


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

Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Hospitalist
1512 12TH AVE RD, APOGEE PHYSICIANS
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Pathology (Anatomic Pathology & Clinical Pathology)
1512 12TH AVE RD
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD, ANESTHESIOLOGY CONSULTANTS OF IDAHO
NAMPA, ID 83686
Physician Assistant
1512 12TH AVE RD
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Radiology (Diagnostic Radiology)
1512 12TH AVE RD
NAMPA, ID 83686
Pharmacist
1512 12TH AVE RD
NAMPA, ID 83686
Pharmacist
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104972983, enumerated as an "organization" on January 26, 2007.

The provider is located at 1512 12TH AVE RD NAMPA, ID 83686 and the phone number is (208) 463-5000.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

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