COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC NPI 1003023870

Oral & Maxillofacial Surgery in Columbus, GA

NPI 1003023870 Organization Oral & Maxillofacial Surgery

NPI Profile for COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC

Columbus Oral & Maxillofacial Surgery Pc is a provider established in Columbus, Georgia specializing in oral & maxillofacial surgery. The NPI number of Columbus Oral & Maxillofacial Surgery Pc is 1003023870 and was assigned on May 2007. The practitioner's primary taxonomy code is 204E00000X with license number 052372 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Columbus Oral & Maxillofacial Surgery Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. John R Scuba Dds (Owner)

NPI

1003023870

Provider NameCOLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
Provider Location Address4405 N STADIUM DR SUITE A COLUMBUS, GA 31909
Provider Mailing Address4405 N STADIUM DR SUITE A COLUMBUS, GA 31909
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-17-2007
Last Update Date06-23-2008


Primary Taxonomy

Taxonomy Code204E00000X
ClassificationOral & Maxillofacial Surgery
TypeAllopathic & Osteopathic Physicians
License No.052372
License StateGA
Taxonomy DescriptionOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Business Address

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
4405 N STADIUM DR
SUITE A
COLUMBUS, GA
ZIP 31909
Phone: (706) 507-0901
Fax: (706) 507-0984

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Mailing Address

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
4405 N STADIUM DR
SUITE A
COLUMBUS, GA
ZIP 31909
Phone: (706) 507-0901
Fax: (706) 507-0984



Authorized Official

Authorized Official NameDR. JOHN R SCUBA DDS
Authorized Official TitleOWNER
Authorized Official Phone(706) 507-0901

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryDN013256GANo

Taxonomy Description: the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

22082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck052372GANo

Taxonomy Description: a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

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
IP09476001OTHER (01)GABCBS OF GA (M) GROUP

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.
1003023870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003026814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 6 + 8 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003023870 is valid because the calculated check digit 0 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
1043413032DR. JEFFREY M SERFF D.M.D.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)4405 N STADIUM DR SUITE B
COLUMBUS, GA 31909
(706) 507-0999
1063828499COLUMBUS CHILDREN'S DENTISTRY, PC
Organization
Dentist (Pediatric Dentistry)4405 N STADIUM DR SUITE B
COLUMBUS, GA 31909
(706) 225-0444

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
Columbus Oral & Maxillofacial Surgery Pc 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.