JACQUELINE HENDERSON MD
NPI 1366482358
Emergency Medicine - Emergency Medical Services in Michigan City, IN

NPI Status: Active since June 07, 2006

Contact Information

301 W HOMER ST
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 879-8511

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  • Individual
  • Female
  • Emergency Medicine
  • Emergency Medical Services

About JACQUELINE HENDERSON

This page provides the complete NPI Profile along with additional information for Jacqueline Henderson, a provider established in Michigan City, Indiana with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1366482358 assigned on June 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 01059200A (IN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1366482358
Provider Name
JACQUELINE HENDERSON MD
Gender
Female
Entity Type
Individual
Location Address
301 W HOMER ST MICHIGAN CITY, IN 46360
Location Phone
(219) 879-8511
Mailing Address
2000 GREEN RD SUITE 300 ANN ARBOR, MI 48105
Mailing Phone
(734) 995-3764
Is Sole Proprietor?
No
Enumeration Date
06-07-2006
Last Update Date
06-04-2008
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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.
01059200A
License State
IN
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
F97067MEDICARE UPIN (02) 
M60660310MEDICARE PIN (08)MI 

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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 1366482358, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 8 + 4 + 3 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366482358.

Other Providers at the Same Location


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

Dietitian, Registered
301 W HOMER ST
MICHIGAN CITY, IN 46360
Dietitian, Registered
301 W HOMER ST
MICHIGAN CITY, IN 46360
Dietitian, Registered
301 W HOMER ST
MICHIGAN CITY, IN 46360
Radiology (Diagnostic Radiology)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Pathology (Anatomic Pathology & Clinical Pathology)
301 W HOMER ST, ST ANTHONY MEMORIAL HOSPITAL
MICHIGAN CITY, IN 46360
Radiology (Diagnostic Radiology)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Nurse Practitioner
301 W HOMER ST
MICHIGAN CITY, IN 46360
Nurse Practitioner
301 W HOMER ST
MICHIGAN CITY, IN 46360
Emergency Medicine (Emergency Medical Services)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Physical Therapist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Emergency Medicine
301 W HOMER ST
MICHIGAN CITY, IN 46360
Dietitian, Registered
301 W HOMER ST, STE 106
MICHIGAN CITY, IN 46360
Interpreter
301 W HOMER ST
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Physical Therapist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Physical Therapist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Physical Therapist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Pharmacist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Emergency Medicine
301 W HOMER ST
MICHIGAN CITY, IN 46360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366482358, enumerated as an "individual" on June 07, 2006.

The provider is located at 301 W HOMER ST MICHIGAN CITY, IN 46360 and the phone number is (219) 879-8511.

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.