ROGER C WILLETTE MD; PA
NPI 1679734628
Specialist in Houston, TX

NPI Status: Active since June 23, 2008

Contact Information

1322 SPACE PARK DR
STE B150
HOUSTON, TX
ZIP 77058
Phone: (281) 333-1213
Fax: (281) 333-9573

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  • Organization
  • Specialist

About ROGER C WILLETTE MD; PA

This page provides the complete NPI Profile along with additional information for Roger C Willette Md; Pa, a provider established in Houston, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1679734628 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X with license number G6771 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Roger C Willette Md; Pa. The authorized official of this NPI record is Carey Kneupper (Practice Administrator)

NPI
1679734628
Provider Legal Name
ROGER C WILLETTE MD; PA
Other Organization Name
ROGER C WILLETTE MD; PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1322 SPACE PARK DR STE B150 HOUSTON, TX 77058
Location Phone
(281) 333-1213
Location Fax
(281) 333-9573
Mailing Address
PO BOX 57805 WEBSTER, TX 77598
Mailing Phone
(281) 333-1213
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2008
Last Update Date
07-08-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
G6771
License State
TX
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAREY KNEUPPER

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(281) 333-1213

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
C23504MEDICARE UPIN (02)TX 
097810801MEDICAID (05)TX 
00D01FMEDICARE PIN (08)TX 

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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 1679734628, 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 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
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
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 7 → 14 → 5 7 → 14 → 5 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 4 + 3 + 8 + 6 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1679734628.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1322 SPACE PARK DR, SUITE C105
HOUSTON, TX 77058
Nurse Practitioner (Adult Health)
1322 SPACE PARK DR, A194
HOUSTON, TX 77058
Neurological Surgery
1322 SPACE PARK DR, #A194
HOUSTON, TX 77058
Durable Medical Equipment & Medical Supplies
1322 SPACE PARK DR, SUITE B205
HOUSTON, TX 77058
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1322 SPACE PARK DR, SUITE C197
HOUSTON, TX 77058
Acupuncturist
1322 SPACE PARK DR, SUITE C185
HOUSTON, TX 77058
Exclusive Provider Organization
1322 SPACE PARK DR, SUITE C185
HOUSTON, TX 77058
Clinic/Center (Primary Care)
1322 SPACE PARK DR, SUITE B100
HOUSTON, TX 77058
Family Medicine
1322 SPACE PARK DR
HOUSTON, TX 77058
Counselor (Professional)
1322 SPACE PARK DR, C155
HOUSTON, TX 77058
Durable Medical Equipment & Medical Supplies
1322 SPACE PARK DR, #A203
HOUSTON, TX 77058
Specialist/Technologist, Other (Surgical Assistant)
1322 SPACE PARK DR, C-102
HOUSTON, TX 77058
Clinical Medical Laboratory
1322 SPACE PARK DR, SUITE A195
HOUSTON, TX 77058
Counselor (Addiction (Substance Use Disorder))
1322 SPACE PARK DR
HOUSTON, TX 77058
Counselor (Professional)
1322 SPACE PARK DR
HOUSTON, TX 77058
Counselor (Mental Health)
1322 SPACE PARK DR
HOUSTON, TX 77058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679734628, enumerated as an "organization" on June 23, 2008.

The provider is located at 1322 SPACE PARK DR STE B150 HOUSTON, TX 77058 and the phone number is (281) 333-1213.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.