KENTUCKY ORTHOPAEDIC CLINIC (DUBIN ORTHOPAEDIC CENTRE, PSC) NPI 1003013871

Prosthetic/Orthotic Supplier in Middlesboro, KY

NPI 1003013871 Organization Prosthetic/Orthotic Supplier

NPI Profile for KENTUCKY ORTHOPAEDIC CLINIC (DUBIN ORTHOPAEDIC CENTRE, PSC)

Kentucky Orthopaedic Clinic (dubin Orthopaedic Centre, Psc) is a provider established in Middlesboro, Kentucky specializing in prosthetic/orthotic supplier. The NPI number of Kentucky Orthopaedic Clinic (dubin Orthopaedic Centre, Psc) is 1003013871 and was assigned on June 2007. The practitioner's primary taxonomy code is 335E00000X with license number 25458 (KY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is Kentucky Orthopaedic Clinic. The authorized official of this NPI record is Ronald Sanford Dubin M.d. (President)

NPI

1003013871

Provider NameKENTUCKY ORTHOPAEDIC CLINIC (DUBIN ORTHOPAEDIC CENTRE, PSC)
Provider Location Address705 N 12TH ST STE 100 MIDDLESBORO, KY 40965
Provider Mailing Address705 N 12TH ST STE 100 PO BOX 2897 MIDDLESBORO, KY 40965
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameKENTUCKY ORTHOPAEDIC CLINIC
Other Name TypeFormer Legal Business Name (4)
Enumeration Date06-27-2007
Last Update Date03-18-2010


Primary Taxonomy

Taxonomy Code335E00000X
ClassificationProsthetic/Orthotic Supplier
TypeSuppliers
License No.25458
License StateKY
Taxonomy DescriptionAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Business Address

KENTUCKY ORTHOPAEDIC CLINIC
705 N 12TH ST
STE 100
MIDDLESBORO, KY
ZIP 40965
Phone: (606) 248-0050
Fax: (606) 248-8711

Get Directions


Mailing Address

KENTUCKY ORTHOPAEDIC CLINIC
705 N 12TH ST STE 100
PO BOX 2897
MIDDLESBORO, KY
ZIP 40965
Phone: (606) 248-0050
Fax: (606) 248-8711



Authorized Official

Authorized Official Name RONALD SANFORD DUBIN M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(606) 248-0050

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
90004839OTHER (01)KYKY MEDICAID DME
00196002OTHER (01)KYMEDICARE PIN# DR DUBIN
P41867MEDICARE UPIN (02)KY
00196001MEDICARE ID-TYPE UNSPECIFIED (04)KYAMY L. JONES, PA-C
1446802MEDICARE ID-TYPE UNSPECIFIED (04)KYRONALD S. DUBIN, M.D.
4148450001MEDICARE NSC (07)KY
64254584MEDICAID (05)KY
4409001OTHER (01)KYRAILROAD MEDICARE
000000059556-BCBSOTHER (01)KYBCBS GROUP #
C76013MEDICARE UPIN (02)KY
000000048909-BCBSOTHER (01)KYRONALD S. DUBIN, M.D.
00196MEDICARE ID-TYPE UNSPECIFIED (04)KYGROUP MEDICARE #
000000505007-BCBSOTHER (01)KYAMY L. JONES, PA-C
95001780MEDICAID (05)KY

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003013871
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003016814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 8 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003013871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467596585DUBIN ORTHOPAEDIC CENTRE, P.S.C.
Organization
Clinic/Center705 N 12TH ST SUITE 100
MIDDLESBORO, KY 40965
(606) 248-0050
1790043537SOUTHERN ORTHOCARE INC
Organization
Prosthetic/Orthotic Supplier705 N 12TH ST SUITE 250
MIDDLESBORO, KY 40965
(423) 307-1890

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kentucky Orthopaedic Clinic is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.