DR. DOUGLAS SPRAGUE M.D.
NPI 1124097597
Pediatrics - Neonatal-Perinatal Medicine in Madisonville, KY

NPI Status: Active since March 16, 2006

Contact Information

550 HOSPITAL DR
MADISONVILLE, KY
ZIP 42431
Phone: (270) 821-1229

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine

About DOUGLAS SPRAGUE

This page provides the complete NPI Profile along with additional information for Douglas Sprague, a pediatrician established in Madisonville, Kentucky with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1124097597 assigned on March 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 37474 (KY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1124097597
Provider Name
DR. DOUGLAS SPRAGUE M.D.
Gender
Male
Entity Type
Individual
Location Address
550 HOSPITAL DR MADISONVILLE, KY 42431
Location Phone
(270) 821-1229
Mailing Address
PO BOX 2048 LYNN HAVEN, FL 32444
Mailing Phone
(850) 348-1931
Is Sole Proprietor?
No
Enumeration Date
03-16-2006
Last Update Date
11-22-2016
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A pediatrician like Douglas Sprague is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
37474
License State
KY
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

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.

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
377081800MEDICAID (05)FL 
26427OTHER (01)FLBCBS FLORIDA
E90941MEDICARE UPIN (02)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 1124097597, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 2 → 4 0 → 0 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 0 + 9 + 1 + 4 + 5 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124097597.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
550 HOSPITAL DR
MADISONVILLE, KY 42431
Pediatrics (Neonatal-Perinatal Medicine)
550 HOSPITAL DR
MADISONVILLE, KY 42431
Internal Medicine (Cardiovascular Disease)
550 HOSPITAL DR, SUITE B
MADISONVILLE, KY 42431
Pediatrics (Neonatal-Perinatal Medicine)
550 HOSPITAL DR
MADISONVILLE, KY 42431
Internal Medicine (Cardiovascular Disease)
550 HOSPITAL DR, SUITE B
MADISONVILLE, KY 42431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124097597, enumerated as an "individual" on March 16, 2006.

The provider is located at 550 HOSPITAL DR MADISONVILLE, KY 42431 and the phone number is (270) 821-1229.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

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