BRIAN T LAURSEN P.A.
NPI 1164425187
Physician Assistant in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

7601 W Jefferson Blvd
Fort Wayne,
Post Code: 46804
Phone: (260) 436-8686
Fax: (260) 432-5075

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Brian T Laursen P.a. in Fort Wayne - Physician Assistant

Brian T Laursen P.a. is a Physician Assistant in Fort Wayne, . Brian T Laursen P.a. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian T Laursen P.a. is 1164425187. The last update date is 2023-09-19.

Brian T Laursen P.a.'s current location address is 7601 W Jefferson Blvd, Fort Wayne, . You can contact this provider via phone number (260) 436-8686 and fax number (260) 432-5075. The mailing address for Brian T Laursen P.a. is 7601 W Jefferson Blvd, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164425187
Provider Name
BRIAN T LAURSEN P.A.
Gender
Male
Entity Type
Individual
Location Address
7601 W Jefferson Blvd, Fort Wayne,
Location Phone
(260) 436-8686
Location Fax
(260) 432-5075
Mailing Address
Po Box 2526, Fort Wayne, Indiana(IN)
Mailing Phone
260-436-8686
Mailing Fax
260-432-5075
Enumeration Date
2005-05-23
Last Update Date
2023-09-19
Code Navigator

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

Taxonomy Code
363A00000X
Type
-
License No.
10000668A
License State
Indiana (IN)
Taxonomy Description
-

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

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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.
1164425187
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211248210116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211248210116
2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 0 + 1 + 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 = 7 7

The NPI number 1164425187 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1063415297 PARK VIEW PSYCHIATRIC SERVICES, PSC
Organization
Social Worker, Clinical 510 SPRING ST
JEFFERSONVILLE, Indiana (IN)
812-282-1888
1013910033 GARRICK P HUBBARD
Individual
Specialist 11590 N MERIDIAN ST STE 400
CARMEL, Indiana (IN)
317-708-2839
1023011244 SCOTT A FRETZIN
Individual
Dermatology 7910 N SHADELAND AVE
INDIANAPOLIS, Indiana (IN)
317-516-5000
1013910223 BINH QUY NGUYEN
Individual
Ophthalmology 759 45TH AVE
MUNSTER, Indiana (IN)
219-922-6226