ER PHYSICIAN GROUP
NPI 1164593109
Emergency Medicine - Emergency Medical Services in Storm Lake, IA

NPI Status: Active since November 13, 2006

Contact Information

1525 W 5TH ST
STORM LAKE, IA
ZIP 50588
Phone: (712) 732-4030
Fax: (712) 213-1233

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services
  • Accepts Insurance

About ER PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Er Physician Group, a provider established in Storm Lake, Iowa operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1164593109 assigned on November 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 166H (IA). The provider is registered as an organization and their NPI record was last updated 15 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 provider's other name is Er Physician Group. The authorized official of this NPI record is Mrs. Krista L Ketcham (Cfo)

NPI
1164593109
Provider Legal Name
BUENA VISTA REGIONAL MEDICAL CENTER
Other Organization Name
ER PHYSICIAN GROUP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1525 W 5TH ST STORM LAKE, IA 50588
Location Phone
(712) 732-4030
Location Fax
(712) 213-1233
Mailing Address
1525 W 5TH ST PO BOX 309 STORM LAKE, IA 50588
Mailing Phone
(712) 732-4030
Mailing Fax
(712) 213-1233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
07-08-2011
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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

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License No.
166H
License State
IA
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Group Taxonomy 193400000X 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:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

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.

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

MRS. KRISTA L KETCHAM

Authorized Official Title
CFO
Authorized Official Phone
(712) 213-8603

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
=========OTHER (01)IATAX ID NUMBER
12089OTHER (01)IAWELLMARK GROUP NUMBER
12089MEDICARE ID-TYPE UNSPECIFIED (04)IAMEDICARE GROUP NUMBER
0097956MEDICAID (05)IN 

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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 1164593109, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 0 → 0

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 + 9 + 6 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164593109.

Other Providers at the Same Location


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

General Acute Care Hospital (Critical Access)
1525 W 5TH ST
STORM LAKE, IA 50588
Psychiatric Unit
1525 W 5TH ST
STORM LAKE, IA 50588
Specialist
1525 W 5TH ST
STORM LAKE, IA 50588
Physical Therapy Assistant
1525 W 5TH ST
STORM LAKE, IA 50588
Nurse Practitioner (Psychiatric/Mental Health)
1525 W 5TH ST
STORM LAKE, IA 50588
Surgery
1525 W 5TH ST
STORM LAKE, IA 50588
Occupational Therapist
1525 W 5TH ST
STORM LAKE, IA 50588
Physical Therapy Assistant
1525 W 5TH ST
STORM LAKE, IA 50588
Durable Medical Equipment & Medical Supplies
1525 W 5TH ST
STORM LAKE, IA 50588
Medicare Defined Swing Bed Unit
1525 W 5TH ST
STORM LAKE, IA 50588
Dietitian, Registered
1525 W 5TH ST
STORM LAKE, IA 50588
Dietitian, Registered
1525 W 5TH ST
STORM LAKE, IA 50588
Nurse Anesthetist, Certified Registered
1525 W 5TH ST
STORM LAKE, IA 50588
Nurse Anesthetist, Certified Registered
1525 W 5TH ST
STORM LAKE, IA 50588
Radiology (Diagnostic Radiology)
1525 W 5TH ST
STORM LAKE, IA 50588
Family Medicine
1525 W 5TH ST
STORM LAKE, IA 50588
Orthopaedic Surgery
1525 W 5TH ST, POD C
STORM LAKE, IA 50588
Clinic/Center (Mental Health (Including Community Mental Health Center))
1525 W 5TH ST
STORM LAKE, IA 50588
Nurse Anesthetist, Certified Registered
1525 W 5TH ST
STORM LAKE, IA 50588
Nurse Anesthetist, Certified Registered
1525 W 5TH ST
STORM LAKE, IA 50588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164593109, enumerated as an "organization" on November 13, 2006.

The provider is located at 1525 W 5TH ST STORM LAKE, IA 50588 and the phone number is (712) 732-4030.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.

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