JOSEPH L. PETRUSEK, M.D., P.C.
NPI 1164553285
Otolaryngology in La Grande, OR

NPI Status: Active since March 08, 2007

Contact Information

710 SUNSET DR
STE. D
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-8643
Fax: (541) 963-5845

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  • Organization
  • Otolaryngology

About JOSEPH L. PETRUSEK, M.D., P.C.

This page provides the complete NPI Profile along with additional information for Joseph L. Petrusek, M.d., P.c., a provider established in La Grande, Oregon operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1164553285 assigned on March 2007. The practitioner's primary taxonomy code is 207Y00000X with license number MD09444 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Joseph Louis Petrusek M.d. (Owner)

NPI
1164553285
Provider Name
JOSEPH L. PETRUSEK, M.D., P.C.
Entity Type
Organization
Location Address
710 SUNSET DR STE. D LA GRANDE, OR 97850
Location Phone
(541) 963-8643
Location Fax
(541) 963-5845
Mailing Address
710 SUNSET DR STE. D LA GRANDE, OR 97850
Mailing Phone
(541) 963-8643
Mailing Fax
(541) 963-5845
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
08-22-2020
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD09444
License State
OR
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. JOSEPH LOUIS PETRUSEK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(541) 963-8643

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
161026MEDICAID (05)OR 

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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 1164553285, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 6 → 12 → 3 5 → 10 → 1 3 → 6 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 + 1 + 2 + 4 + 1 + 0 + 5 + 6 + 2 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164553285.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Audiologist-Hearing Aid Fitter
710 SUNSET DR
LA GRANDE, OR 97850
Orthopaedic Surgery
710 SUNSET DR
LA GRANDE, OR 97850
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Otolaryngology
710 SUNSET DR, STE. D
LA GRANDE, OR 97850
Internal Medicine (Rheumatology)
710 SUNSET DR
LA GRANDE, OR 97850
Case Manager/Care Coordinator
710 SUNSET DR
LA GRANDE, OR 97850
Nurse Practitioner (Family)
710 SUNSET DR, SUITE E
LA GRANDE, OR 97850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164553285, enumerated as an "organization" on March 08, 2007.

The provider is located at 710 SUNSET DR STE. D LA GRANDE, OR 97850 and the phone number is (541) 963-8643.

Otolaryngology with taxonomy code 207Y00000X.

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