RICHARD T JACKSON D.P.M.
NPI 1407859424
Podiatrist 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) 486-8585

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Richard T Jackson D.p.m. in Fort Wayne - Podiatrist

Richard T Jackson D.p.m. is a Podiatrist in Fort Wayne, . Richard T Jackson D.p.m. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Richard T Jackson D.p.m. is 1407859424. The last update date is 2016-11-07.

Richard T Jackson D.p.m.'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) 486-8585. The mailing address for Richard T Jackson D.p.m. is 7601 W Jefferson Blvd, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1407859424
Provider Name
RICHARD T JACKSON D.P.M.
Gender
Male
Entity Type
Individual
Location Address
7601 W Jefferson Blvd, Fort Wayne,
Location Phone
(260) 436-8686
Location Fax
(260) 486-8585
Mailing Address
Po Box 2526, Fort Wayne, Indiana(IN)
Mailing Phone
260-436-8686
Mailing Fax
260-436-8585
Enumeration Date
2005-05-23
Last Update Date
2016-11-07
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

Podiatrist

Taxonomy Code
213E00000X
Type
-
License No.
07000729A
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
00000089403 Other (non-Medicare) (01) () Anthem
100359040A MEDICAID (05) Indiana (IN)
480026551 Other (non-Medicare) (01) () Railroad Medicare

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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.
1407859424
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24071651844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24071651844
2 + 4 + 0 + 7 + 1 + 6 + 5 + 1 + 8 + 4 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1407859424 is valid because the calculated check digit 4 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
1275536203 NOEL L JANSEN
Individual
Specialist 1815 N CAPITOL AVE
INDIANAPOLIS, Indiana (IN)
317-925-3533
1164425187 BRIAN T LAURSEN
Individual
Physician Assistant 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1275536211 GRETCHEN L CRAMPTON
Individual
Physician Assistant PO BOX 2526
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