FORT WAYNE CARDIOVASCULAR SURGEON
NPI 1790718765
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN

NPI Status: Active since July 10, 2006

Contact Information

11123 PARKVIEW PLAZA DR
SUITE 202
FORT WAYNE, IN
ZIP 46845
Phone: (260) 483-6448
Fax: (260) 373-4167

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About FORT WAYNE CARDIOVASCULAR SURGEON

This page provides the complete NPI Profile along with additional information for Fort Wayne Cardiovascular Surgeon, a provider established in Fort Wayne, Indiana operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1790718765 assigned on July 2006. The practitioner's primary taxonomy code is 208G00000X with license number 50000046A (IN). The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Douglas L Gray Md (President/partner)

NPI
1790718765
Provider Name
FORT WAYNE CARDIOVASCULAR SURGEON
Entity Type
Organization
Location Address
11123 PARKVIEW PLAZA DR SUITE 202 FORT WAYNE, IN 46845
Location Phone
(260) 483-6448
Location Fax
(260) 373-4167
Mailing Address
1818 CAREW STREEET SUITE 250 FORT WAYNE, IN 46805
Mailing Phone
(260) 483-6448
Mailing Fax
(260) 373-4167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
08-22-2020
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
50000046A
License State
IN
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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.

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

DOUGLAS L GRAY MD

Authorized Official Title
PRESIDENT/PARTNER
Authorized Official Phone
(260) 483-6448

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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 1790718765, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 4 + 1 + 1 + 6 + 7 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790718765.

Other Providers at the Same Location


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

Clinic/Center (Medical Specialty)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 204
FT WAYNE, IN 46845
Counselor (Mental Health)
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR, STE # 102
FORT WAYNE, IN 46845
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Specialist
11123 PARKVIEW PLAZA DR, SUITE 2
FORT WAYNE, IN 46845
Nurse Practitioner (Adult Health)
11123 PARKVIEW PLAZA DR, SUITE 206
FORT WAYNE, IN 46845
Psychologist
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Nurse Practitioner (Women's Health)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11123 PARKVIEW PLAZA DR, STE. 106
FORT WAYNE, IN 46845
Pediatrics
11123 PARKVIEW PLAZA DR, SUITE 106
FORT WAYNE, IN 46845
Pediatrics
11123 PARKVIEW PLAZA DR, SUITE 106
FORT WAYNE, IN 46845
Dietitian, Registered
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790718765, enumerated as an "organization" on July 10, 2006.

The provider is located at 11123 PARKVIEW PLAZA DR SUITE 202 FORT WAYNE, IN 46845 and the phone number is (260) 483-6448.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.