SUSAN J TATE MD
NPI 1184611519
Emergency Medicine - Emergency Medical Services in Fort Wainwright, AK

NPI Status: Active since September 30, 2005

Contact Information

4076 NEELY ROAD
FORT WAINWRIGHT, AK
ZIP 99703
Phone: (907) 361-5479

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  • Individual
  • Female
  • Emergency Medicine
  • Emergency Medical Services

About SUSAN TATE

This page provides the complete NPI Profile along with additional information for Susan Tate, a provider established in Fort Wainwright, Alaska with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1184611519 assigned on September 2005. The practitioner's primary taxonomy code is 207PE0004X with license number 4295 (AK). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1184611519
Provider Name
SUSAN J TATE MD
Gender
Female
Entity Type
Individual
Location Address
4076 NEELY ROAD FORT WAINWRIGHT, AK 99703
Location Phone
(907) 361-5479
Mailing Address
4076 NEELY ROAD FT WAINWRIGHT, AK 99703
Mailing Phone
(907) 361-5689
Is Sole Proprietor?
No
Enumeration Date
09-30-2005
Last Update Date
05-28-2025
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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.
4295
License State
AK
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.

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.

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
MD0991MEDICAID (05)AK 

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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 1184611519, 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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
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 8 → 16 → 7 6 → 12 → 3 1 → 2 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 + 6 + 4 + 1 + 2 + 1 + 2 + 5 + 2 + 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 1184611519.

Other Providers at the Same Location


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

Public Health or Welfare
4076 NEELY ROAD, BASSETT ARMY COMMUNITY HOSPITAL
FORT WAINWRIGHT, AK 99703
Dietitian, Registered
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Registered Nurse
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Pharmacist
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
General Practice
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Psychologist
4076 NEELY ROAD, ATTN: DEPT OF BEHAVIORAL HEALTH
FORT WAINWRIGHT, AK 99703
Advanced Practice Midwife
4076 NEELY ROAD, BUILDING 4076 RM3C-40
FORT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD
FT. WAINWRIGHT, AK 99703
Registered Nurse (Case Management)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Psychologist (Clinical)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Obstetrics & Gynecology
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD
FAIRBANKS, AK 99703
Pediatrics
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Counselor (Mental Health)
4076 NEELY ROAD, BLDG 4076, ROOM 3C-401
FT WAINWRIGHT, AK 99703
Obstetrics & Gynecology
4076 NEELY ROAD, BLDG. 4076
FT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD, BASSETT ARMY COMMUNITY HOSPITAL
FORT WAINWRIGHT, AK 99703
General Practice
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD
APO, AA 99703
Nurse Practitioner (Family)
4076 NEELY ROAD, BLDG 4076
FORT WAINWRIGHT, AK 99703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184611519, enumerated as an "individual" on September 30, 2005.

The provider is located at 4076 NEELY ROAD FORT WAINWRIGHT, AK 99703 and the phone number is (907) 361-5479.

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

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