ANDREW JACKSON ETHERIDGE IV CCA, CFO, CFM, CPED
NPI 1487246369
Anaplastologist in Baltimore, MD

NPI Status: Active since February 11, 2021

Contact Information

601 N CAROLINE ST FL 6
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-8215
Fax: (410) 955-1085

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Anaplastologist

About ANDREW ETHERIDGE

This page provides the complete NPI Profile along with additional information for Andrew Etheridge, a provider established in Baltimore, Maryland with a medical specialization in Anaplastologist. The healthcare provider is registered in the NPI registry with number 1487246369 assigned on February 2021. The practitioner's primary taxonomy code is 229N00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1487246369
Provider Name: ANDREW JACKSON ETHERIDGE IV CCA, CFO, CFM, CPED
Gender: Male
Entity Type: Individual
Location Address: 601 N CAROLINE ST FL 6 BALTIMORE, MD 21287
Location Phone: (410) 955-8215
Location Fax: (410) 955-1085
Mailing Address: 6201 GREENLEIGH AVE BALTIMORE, MD 21220
Mailing Phone: (410) 933-6423
Is Sole Proprietor?: No
Enumeration Date: 02-11-2021
Last Update Date: 08-30-2022
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Location Map

Secondary Locations

2613 Carver St
Durham, NC 27705
(919) 383-1205

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: Anaplastologist
Taxonomy Code: 229N00000X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description: An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).

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
1	156FX1700X	Eye and Vision Services Providers	Technician/Technologist Ocularist
2	224900000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Mastectomy Fitter
3	224L00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Pedorthist
4	225000000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Orthotic Fitter

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 1487246369, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 2 → 4 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 4 + 4 + 1 + 2 + 3 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1487246369.

Other Providers at the Same Location

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

MR. STEVEN MICHAEL SWEET PA-C

Physician Assistant (Surgical)

601 N CAROLINE ST FL 6, JOHNS HOPKINS OUTPATIENT CENTER
BALTIMORE, MD 21287

Baltimore City (410) 502-9827

DR. MARC C JOHNSON

Audiologist

601 N CAROLINE ST FL 6, DEPARTMENT OF OTOLARYNGOLOGY- HEAD AND NECK SURGERY
BALTIMORE, MD 21287

Baltimore City (410) 955-6153

NYALL LONDON MD/PHD

Otolaryngology