PILGRIM SULLIVANT
NPI 1003358045
Family Medicine - Addiction Medicine in Columbus, OH

NPI Status: Active since November 08, 2016

Contact Information

3219 SULLIVANT AVE
COLUMBUS, OH
ZIP 43204
Phone: (614) 272-5244

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Addiction Medicine

About PILGRIM SULLIVANT

This page provides the complete NPI Profile along with additional information for Pilgrim Sullivant, a provider established in Columbus, Ohio operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1003358045 assigned on November 2016. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Pilgrim Sullivant. The authorized official of this NPI record is Michael Alexander Do (Medical Director)

NPI: 1003358045
Provider Legal Name: MICHAEL M ALEXANDER DO INC
Other Organization Name: PILGRIM SULLIVANT
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 3219 SULLIVANT AVE COLUMBUS, OH 43204
Location Phone: (614) 272-5244
Mailing Address: 3219 SULLIVANT AVE COLUMBUS, OH 43204
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-08-2016
Last Update Date: 04-24-2017
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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: Family Medicine Addiction Medicine
Taxonomy Code: 207QA0401X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MICHAEL ALEXANDER DO
Authorized Official Title: MEDICAL DIRECTOR
Authorized Official Phone: (614) 272-5244

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.
1	0	0	3	3	5	8	0	4	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	0	3	6	5	16	0	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 6 + 5 + 1 + 6 + 0 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1003358045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.