DR. MICHAEL D LACK M.D.
NPI 1477515294
Preventive Medicine - Occupational Medicine in Jonesboro, AR
NPI Status: Active since April 05, 2006
Contact Information
4334 E HIGHLAND DR
JONESBORO, AR
ZIP 72401
Phone: (870) 802-0012
Fax: (870) 972-5140
- Individual
- Male
- Preventive Medicine
- Occupational Medicine
About MICHAEL LACK
This page provides the complete NPI Profile along with additional information for Michael Lack, a provider established in Jonesboro, Arkansas with a medical specialization in Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1477515294 assigned on April 2006. The practitioner's primary taxonomy code is 2083X0100X with license number C5420 (AR). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1477515294
- Provider Name
- DR. MICHAEL D LACK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4334 E HIGHLAND DR JONESBORO, AR 72401
- Location Phone
- (870) 802-0012
- Location Fax
- (870) 972-5140
- Mailing Address
- 4334 E HIGHLAND DR JONESBORO, AR 72401
- Mailing Phone
- (870) 802-0012
- Mailing Fax
- (870) 972-5140
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C5420
- License State
- AR
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
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 |
|---|---|---|---|
| D04719 | MEDICARE UPIN (02) | AR | |
| 03100011900 | OTHER (01) | AR | QUALCHOICE |
| 53013 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
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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 1477515294, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
JONESBORO, AR 72401
JONESBORO, AR 72401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477515294, enumerated as an "individual" on April 05, 2006.
The provider is located at 4334 E HIGHLAND DR JONESBORO, AR 72401 and the phone number is (870) 802-0012.
Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
