DR. KEITH ALLEN WIXTROM M.D.
NPI 1639193246
Family Medicine in Tyler, TX

NPI Status: Active since July 27, 2006

Contact Information

7916 S BROADWAY AVE
TYLER, TX
ZIP 75703
Phone: (903) 266-5900
Fax: (214) 276-7333

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance

About KEITH WIXTROM

This page provides the complete NPI Profile along with additional information for Keith Wixtrom, a primary care provider established in Tyler, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1639193246 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number G8515 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1639193246
Provider Name
DR. KEITH ALLEN WIXTROM M.D.
Gender
Male
Entity Type
Individual
Location Address
7916 S BROADWAY AVE TYLER, TX 75703
Location Phone
(903) 266-5900
Location Fax
(214) 276-7333
Mailing Address
308 HIDE A WAY LN C HIDEAWAY, TX 75771
Mailing Phone
(214) 663-8244
Mailing Fax
(214) 276-7333
Is Sole Proprietor?
Yes
Enumeration Date
07-27-2006
Last Update Date
04-24-2019
Code Navigator

A primary care provider (PCP) like Keith Wixtrom sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 3250 W Pleasant Run Rd Suite 160
    Lancaster, TX 75146
    (972) 274-5200
  • 4500 S Lancaster Rd
    Dallas, TX 75216
    (214) 857-1911

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
G8515
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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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 1639193246, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 3 → 6 1 → 2 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 2 + 9 + 6 + 2 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1639193246.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
7916 S BROADWAY AVE, STE 150
TYLER, TX 75703
Dentist (General Practice)
7916 S BROADWAY AVE, SUITE 150
TYLER, TX 75703
Dentist (Pediatric Dentistry)
7916 S BROADWAY AVE, STE 150
TYLER, TX 75703
Nurse Practitioner (Family)
7916 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
7916 S BROADWAY AVE
TYLER, TX 75703
Respiratory Therapist, Registered (General Care)
7916 S BROADWAY AVE
TYLER, TX 75703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639193246, enumerated as an "individual" on July 27, 2006.

The provider is located at 7916 S BROADWAY AVE TYLER, TX 75703 and the phone number is (903) 266-5900.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.