TRIDENT PET OF SAVANNAH
NPI 1750376208
Radiology - Body Imaging in Savannah, GA

NPI Status: Active since September 12, 2005

Contact Information

617 STEPHENSON AVE
STE 101
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-7523
Fax: (912) 355-7526

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  • Organization
  • Radiology
  • Body Imaging

About TRIDENT PET OF SAVANNAH

This page provides the complete NPI Profile along with additional information for Trident Pet Of Savannah, a provider established in Savannah, Georgia operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1750376208 assigned on September 2005. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Trident Pet Of Savannah. The authorized official of this NPI record is Guy A Messer (Ceo)

NPI
1750376208
Provider Legal Name
PET IMAGING CENTER OF SAVANNAH LLC
Other Organization Name
TRIDENT PET OF SAVANNAH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
617 STEPHENSON AVE STE 101 SAVANNAH, GA 31405
Location Phone
(912) 355-7523
Location Fax
(912) 355-7526
Mailing Address
PO BOX 249 BROOKS, GA 30205
Mailing Phone
(770) 692-1387
Mailing Fax
(912) 355-7526
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2005
Last Update Date
12-09-2015
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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

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

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

GUY A MESSER

Authorized Official Title
CEO
Authorized Official Phone
(770) 692-1387

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
617511716BMEDICAID (05)GA 
47BBBKPMEDICARE ID-TYPE UNSPECIFIED (04) 

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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.
1750376208
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100671220
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 2 + 2 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1750376208 is valid because the calculated check digit 8 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 1750376208, enumerated as an "organization" on September 12, 2005.

The provider is located at 617 STEPHENSON AVE STE 101 SAVANNAH, GA 31405 and the phone number is (912) 355-7523.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

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