DR. LARRY T WILCKEN MD
NPI 1790817013
Family Medicine in Vernal, UT

NPI Status: Active since March 12, 2007

Contact Information

151 W 200 N
VERNAL, UT
ZIP 84078
Phone: (435) 789-3342

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  • Individual
  • Male
  • Family Medicine

About LARRY WILCKEN

This page provides the complete NPI Profile along with additional information for Larry Wilcken, a primary care provider established in Vernal, Utah with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1790817013 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 158064-1205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1790817013
Provider Name
DR. LARRY T WILCKEN MD
Gender
Male
Entity Type
Individual
Location Address
151 W 200 N VERNAL, UT 84078
Location Phone
(435) 789-3342
Mailing Address
3618 DRY FORK CANYON RD VERNAL, UT 84078
Is Sole Proprietor?
No
Enumeration Date
03-12-2007
Last Update Date
03-16-2010
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A primary care provider (PCP) like Larry Wilcken 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 .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
158064-1205
License State
UT
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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
000012408MEDICARE ID-TYPE UNSPECIFIED (04)UT151 W 200 N, VERNAL
320057MEDICARE OSCAR/CERTIFICATION (06)NM 
HSZ216MEDICARE PIN (08)UT 
H1232MEDICAID (05)NM 
H52178MEDICARE PIN (08)NM 
HSZ230MEDICARE PIN (08)UT 
D07808MEDICARE UPIN (02)UT 
05135MEDICAID (05)UT 

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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.
1790817013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801611402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 1 + 1 + 4 + 0 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1790817013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

HILARY J. SARHATT DO

Family Medicine

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

NOLAN R. BROOKSBY DO

Emergency Medicine

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

JOYCE F BUHLER RD CD CDE

Dietitian, Registered

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

ORLANDO G HEATON PT

Physical Therapist

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

BRUCE A DANIEL MD

Emergency Medicine

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

DAVID ANDREW BESTENELHNER PHARM. D.

Pharmacist

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

BEN DOGAN SEMADENI PHARM. D.

Pharmacist

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

MR. MICHAEL ARTHUR HARTMAN

Nurse Anesthetist, Certified Registered

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3352

MR. DEE LEWIS BAMBROUGH CRNA

Nurse Anesthetist, Certified Registered

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

DEAN G ANDERSON M.D.

Emergency Medicine

151 W 200 N
ASHLEY REGIONAL MEDICAL CENTER
VERNAL, UT
ZIP 84078

(435) 789-3342

SHANE VERL THEOBALD CRNA

Nurse Anesthetist, Certified Registered

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 781-1519

BASIN ANESTHESIA ASSOCIATES, INC.

Nurse Anesthetist, Certified Registered

151 W 200 N
VERNAL, UT
ZIP 84078

(435) 789-3342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790817013, enumerated as an "individual" on March 12, 2007.

The provider is located at 151 W 200 N VERNAL, UT 84078 and the phone number is (435) 789-3342.

Family Medicine with taxonomy code 207Q00000X.

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