JACKSON LAWRENCE FLACK
NPI 1770315087
Student in an Organized Health Care Education/Training Program in Joplin, MO

NPI Status: Active since August 15, 2024

Contact Information

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804
Phone: (417) 208-0805

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About JACKSON FLACK

This page provides the complete NPI Profile along with additional information for Jackson Flack, a primary care provider established in Joplin, Missouri with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1770315087 assigned on August 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1770315087
Provider Name
JACKSON LAWRENCE FLACK
Gender
Male
Entity Type
Individual
Location Address
3001 SAINT JOHNS BLVD JOPLIN, MO 64804
Location Phone
(417) 208-0805
Mailing Address
3001 SAINT JOHNS BLVD JOPLIN, MO 64804
Mailing Phone
(417) 208-0805
Is Sole Proprietor?
No
Enumeration Date
08-15-2024
Last Update Date
08-15-2024
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A primary care provider (PCP) like Jackson Flack 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 .

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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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.
1770315087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271406110016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 6 + 1 + 1 + 0 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1770315087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. DENNIS MICHAEL ABBOTT D.D.S.

Dentist

(General Practice)

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

DR. DIANE EDE DMD, MHL

Dentist

(General Practice)

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0759

DR. CIERRA BARTON DMD

Dentist

(General Practice)

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0630

BRIAN PHOLVICHITR

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

AMARA MBIONWU

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

JODI FLYNT

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

CARMEN CAFARO

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(623) 552-8801

PAIGE NICOLE OVERGAARD

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

ALI ABDULLAH MALHI

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

MONTSERRAT LOPEZ

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

SAMUEL LIM

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

AMY JENAE SCHAULIS

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0630

RACHAEL A RUEPPEL

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

TAYAH RENAY MATHYS

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

HAYLEE ELIZABETH HARDEN

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

DEVLIN AUBERT

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

KELSON KHOA LUONG TRAN DDS

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

MONA L HAGEN

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

MR. PAUL PHU LANG

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

SYDNEY ENA OBIMPEH

Student in an Organized Health Care Education/Training Program

3001 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804

(417) 208-0805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770315087, enumerated as an "individual" on August 15, 2024.

The provider is located at 3001 SAINT JOHNS BLVD JOPLIN, MO 64804 and the phone number is (417) 208-0805.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.