COLON RECTAL SURGERY OF TIDEWATER, P.C.
NPI 1790794022
Colon & Rectal Surgery in Portsmouth, VA

NPI Status: Active since August 05, 2006

Contact Information

3235 ACADEMY AVE
SUITE 100
PORTSMOUTH, VA
ZIP 23703
Phone: (757) 484-9653
Fax: (757) 484-9662

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  • Organization
  • Colon & Rectal Surgery

About COLON RECTAL SURGERY OF TIDEWATER, P.C.

This page provides the complete NPI Profile along with additional information for Colon Rectal Surgery Of Tidewater, P.c., a provider established in Portsmouth, Virginia operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1790794022 assigned on August 2006. The practitioner's primary taxonomy code is 208C00000X with license number 0101031444 (VA). The provider is registered as an organization and their NPI record was last updated 15 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 Dr. Jeffrey Stephen Wolf M.d. (President)

NPI
1790794022
Provider Name
COLON RECTAL SURGERY OF TIDEWATER, P.C.
Entity Type
Organization
Location Address
3235 ACADEMY AVE SUITE 100 PORTSMOUTH, VA 23703
Location Phone
(757) 484-9653
Location Fax
(757) 484-9662
Mailing Address
3235 ACADEMY AVE SUITE 100 PORTSMOUTH, VA 23703
Mailing Phone
(757) 484-9653
Mailing Fax
(757) 484-9662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
09-14-2011
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Location Map

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

Colon & Rectal Surgery

Taxonomy Code
208C00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101031444
License State
VA
Taxonomy Description
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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.

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

DR. JEFFREY STEPHEN WOLF M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(757) 484-9653

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
00V712C97MEDICARE ID-TYPE UNSPECIFIED (04)VA 
280000251MEDICARE ID-TYPE UNSPECIFIED (04)VAMEDICARE RAILROAD
200136OTHER (01)VAOPTIMA
2317306MEDICARE PIN (08)NC 
B07424MEDICARE UPIN (02)VA 
072337OTHER (01)VABC/BS
292832OTHER (01)VAMAMSI
890528EMEDICAID (05)NC 
005841232MEDICAID (05)VA 

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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 1790794022, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 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 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 8 + 0 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790794022.

Other Providers at the Same Location


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

Psychiatry & Neurology (Clinical Neurophysiology)
3235 ACADEMY AVE, STE 305
PORTSMOUTH, VA 23703
Psychiatry & Neurology (Neurology)
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
Family Medicine
3235 ACADEMY AVE, SUITE 102
PORTSMOUTH, VA 23703
Internal Medicine (Cardiovascular Disease)
3235 ACADEMY AVE, SUITE 201
PORTSMOUTH, VA 23703
Nurse Practitioner
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
Durable Medical Equipment & Medical Supplies
3235 ACADEMY AVE, SUITE 304
PORTSMOUTH, VA 23703
Colon & Rectal Surgery
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Clinic/Center (Sleep Disorder Diagnostic)
3235 ACADEMY AVE, SUITE 304
PORTSMOUTH, VA 23703
Nurse Practitioner (Family)
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
Durable Medical Equipment & Medical Supplies
3235 ACADEMY AVE, SUITE 304
PORTSMOUTH, VA 23703
Family Medicine
3235 ACADEMY AVE, SUITE 102
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Internal Medicine (Nephrology)
3235 ACADEMY AVE, STE 301
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Internal Medicine (Nephrology)
3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703
Internal Medicine (Nephrology)
3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790794022, enumerated as an "organization" on August 05, 2006.

The provider is located at 3235 ACADEMY AVE SUITE 100 PORTSMOUTH, VA 23703 and the phone number is (757) 484-9653.

Colon & Rectal Surgery with taxonomy code 208C00000X.

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