MR. ADAM SIGURD LARSON IDC
NPI 1528512175
Military Health Care Provider - Independent Duty Corpsman in New London, CT

NPI Status: Active since August 12, 2016

Contact Information

158 HAWTHORNE DR
17D
NEW LONDON, CT
ZIP 06320
Phone: (920) 562-0770

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About ADAM LARSON

This page provides the complete NPI Profile along with additional information for Adam Larson, a provider established in New London, Connecticut with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1528512175 assigned on August 2016. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1528512175
Provider Name
MR. ADAM SIGURD LARSON IDC
Gender
Male
Entity Type
Individual
Location Address
158 HAWTHORNE DR 17D NEW LONDON, CT 06320
Location Phone
(920) 562-0770
Mailing Address
158 HAWTHORNE DR 17D NEW LONDON, CT 06320
Mailing Phone
(920) 562-0770
Is Sole Proprietor?
No
Enumeration Date
08-12-2016
Last Update Date
08-12-2016
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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

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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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.
1528512175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481014114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 0 + 1 + 4 + 1 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1528512175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528512175, enumerated as an "individual" on August 12, 2016.

The provider is located at 158 HAWTHORNE DR 17D NEW LONDON, CT 06320 and the phone number is (920) 562-0770.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.