DANIELLE SUSAN DOUGLASS PA-C
NPI 1811439763
Physician Assistant - Surgical in Grand Rapids, MI

NPI Status: Active since November 09, 2016

Contact Information

25 MICHIGAN ST NE
SUITE 6100
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-7900
Fax: (616) 267-7901

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About DANIELLE DOUGLASS

This page provides the complete NPI Profile along with additional information for Danielle Douglass, a provider established in Grand Rapids, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1811439763 assigned on November 2016. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1811439763
Provider Name
DANIELLE SUSAN DOUGLASS PA-C
Gender
Female
Entity Type
Individual
Location Address
25 MICHIGAN ST NE SUITE 6100 GRAND RAPIDS, MI 49503
Location Phone
(616) 267-7900
Location Fax
(616) 267-7901
Mailing Address
100 MICHIGAN ST NE MC-845 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 267-7900
Mailing Fax
(616) 267-7901
Is Sole Proprietor?
No
Enumeration Date
11-09-2016
Last Update Date
02-02-2017
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Danielle Douglass is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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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 1811439763, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 8 + 3 + 1 + 8 + 7 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1811439763.

Other Providers at the Same Location


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

Technician/Technologist (Optician)
25 MICHIGAN ST NE, SUITE 1000
GRAND RAPIDS, MI 49503
Internal Medicine (Infectious Disease)
25 MICHIGAN ST NE, MC038
GRAND RAPIDS, MI 49503
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Neurological Surgery
25 MICHIGAN ST NE, SUITE 6100
GRAND RAPIDS, MI 49503
Genetic Counselor, MS
25 MICHIGAN ST NE, SUITE 2000
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE, SUITE 5100
GRAND RAPIDS, MI 49503
Internal Medicine
25 MICHIGAN ST NE, SUITE 2000
GRAND RAPIDS, MI 49503
Internal Medicine
25 MICHIGAN ST NE, SUITE 2200
GRAND RAPIDS, MI 49503
Internal Medicine
25 MICHIGAN ST NE, SUITE 2100
GRAND RAPIDS, MI 49503
Anesthesiology
25 MICHIGAN ST NE, SUITE 2200
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology (Maternal & Fetal Medicine)
25 MICHIGAN ST NE, SUITE 5200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology (Maternal & Fetal Medicine)
25 MICHIGAN ST NE, SUITE 5200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology (Maternal & Fetal Medicine)
25 MICHIGAN ST NE, SUITE 5200
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE, SUITE 6100
GRAND RAPIDS, MI 49503
Genetic Counselor, MS
25 MICHIGAN ST NE, SUITE 2000
GRAND RAPIDS, MI 49503
Pharmacist (Pharmacotherapy)
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Medicine & Rehabilitation
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811439763, enumerated as an "individual" on November 09, 2016.

The provider is located at 25 MICHIGAN ST NE SUITE 6100 GRAND RAPIDS, MI 49503 and the phone number is (616) 267-7900.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.