MR. JAMES WALTER PACK PA
NPI 1164564811
Physician Assistant - Surgical in Millersville, MD

NPI Status: Active since February 12, 2007

Contact Information

750 OAKWILDE CT
MILLERSVILLE, MD
ZIP 21108
Phone: (410) 987-9110

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  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About JAMES PACK

This page provides the complete NPI Profile along with additional information for James Pack, a provider established in Millersville, Maryland with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1164564811 assigned on February 2007. The practitioner's primary taxonomy code is 363AS0400X with license number C0001314 (MD). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1164564811
Provider Name
MR. JAMES WALTER PACK PA
Gender
Male
Entity Type
Individual
Location Address
750 OAKWILDE CT MILLERSVILLE, MD 21108
Location Phone
(410) 987-9110
Mailing Address
750 OAKWILDE CT. MILLERSVILLE, MD 21108
Mailing Phone
(410) 987-9110
Is Sole Proprietor?
Yes
Enumeration Date
02-12-2007
Last Update Date
07-08-2007
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
C0001314
License State
MD

Medicare Participation & PECOS Enrollment Status

James Pack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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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 1164564811, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 4 → 8 1 → 2

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 + 6 + 8 + 8 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164564811.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164564811, enumerated as an "individual" on February 12, 2007.

The provider is located at 750 OAKWILDE CT MILLERSVILLE, MD 21108 and the phone number is (410) 987-9110.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.