MARYLAND PODIATRY CENTER (JOHN MURPHY DPM, LLC) NPI 1003014192

Podiatrist (Foot Surgery) in Ellicott City, MD

NPI 1003014192 Organization Podiatrist Foot Surgery CLIA Number 21D2090931 CLIA Certificate of Waiver

NPI Profile for MARYLAND PODIATRY CENTER (JOHN MURPHY DPM, LLC)

Maryland Podiatry Center (john Murphy Dpm, Llc) is a provider established in Ellicott City, Maryland specializing in podiatrist (foot surgery) . The NPI number of Maryland Podiatry Center (john Murphy Dpm, Llc) is 1003014192 and was assigned on July 2007. The practitioner's primary taxonomy code is 213ES0131X with license number P0002786 (MD). The provider is registered as an organization and their NPI record was last updated 12 years ago. Maryland Podiatry Center (john Murphy Dpm, Llc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Maryland Podiatry Center. The authorized official of this NPI record is Mrs. Dorothy Murphy (Office Manager)

The CLIA number of Maryland Podiatry Center is 21D2090931 registered as a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Maryland Podiatry Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003014192

Provider NameMARYLAND PODIATRY CENTER (JOHN MURPHY DPM, LLC)
Provider Location Address3460 ELLICOTT CENTER DR SUITE 103 ELLICOTT CITY, MD 21043
Provider Mailing Address3460 ELLICOTT CENTER DR SUITE 103 ELLICOTT CITY, MD 21043
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMARYLAND PODIATRY CENTER
Other Name TypeDoing Business As (3)
Enumeration Date07-10-2007
Last Update Date07-15-2010


Primary Taxonomy

Taxonomy Code213ES0131X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot Surgery
License No.P0002786
License StateMD

Business Address

MARYLAND PODIATRY CENTER
3460 ELLICOTT CENTER DR
SUITE 103
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 992-8504
Fax: (410) 992-8509

Get Directions


Mailing Address

MARYLAND PODIATRY CENTER
3460 ELLICOTT CENTER DR
SUITE 103
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 992-8504
Fax: (410) 992-8509



Authorized Official

Authorized Official NameMRS. DOROTHY MURPHY
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(410) 992-8504

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003014192 is:

CLIA Number21D2090931
Facility TypeAMBULATORY SURGERY CENTER
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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
5263410001MEDICARE NSC (07)MD
949MMEDICARE PIN (08)MD
134302500MEDICAID (05)MD

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.
1003014192
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003018118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 1 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003014192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417977760 JOHN J MURPHY DPM
Individual
Podiatrist (Foot Surgery)3460 ELLICOTT CENTER DR SUITE 103
ELLICOTT CITY, MD 21043
(410) 992-8504

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
Maryland Podiatry Center 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.