PNC MSK, PC
NPI 1356169593
Podiatrist - Foot & Ankle Surgery in Santa Rosa, CA

NPI Status: Active since September 27, 2024

Contact Information

1041 4TH ST STE B
SANTA ROSA, CA
ZIP 95404
Phone: (707) 237-3410

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About PNC MSK, PC

This page provides the complete NPI Profile along with additional information for Pnc Msk, Pc, a provider established in Santa Rosa, California operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1356169593 assigned on September 2024. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated one year ago. Pnc Msk, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Alexander Reyzelman Dpm (Rcmo)

NPI
1356169593
Provider Name
PNC MSK, PC
Entity Type
Organization
Location Address
1041 4TH ST STE B SANTA ROSA, CA 95404
Location Phone
(707) 237-3410
Mailing Address
1041 4TH ST STE B SANTA ROSA, CA 95404
Mailing Phone
(707) 237-3410
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-27-2024
Last Update Date
09-27-2024
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ALEXANDER REYZELMAN DPM

Authorized Official Title
RCMO
Authorized Official Phone
(415) 292-0638

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356169593
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231062618518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 2 + 6 + 1 + 8 + 5 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1356169593 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

LARRY A SMITH

Podiatrist

(Foot & Ankle Surgery)

1041 4TH ST STE B
SANTA ROSA, CA
ZIP 95404

(707) 526-4777

DEHA K KARAOGLAN

Podiatrist

(Foot & Ankle Surgery)

1041 4TH ST STE B
SANTA ROSA, CA
ZIP 95404

(707) 526-4777

DEHA KARAOGLAN

Podiatrist

(Foot & Ankle Surgery)

1041 4TH ST STE B
SANTA ROSA, CA
ZIP 95404

(707) 526-4777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356169593, enumerated as an "organization" on September 27, 2024.

The provider is located at 1041 4TH ST STE B SANTA ROSA, CA 95404 and the phone number is (707) 237-3410.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.