CLINICAL COLLEAGUES OF INDIANA PC
NPI 1003469495
Nurse Anesthetist, Certified Registered in Elkhart, IN

NPI Status: Active since July 24, 2019

Contact Information

500 ARCADE AVE STE 100
ELKHART, IN
ZIP 46514
Phone: (800) 927-0002
Fax: (603) 893-8886

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  • Organization
  • Nurse Anesthetist, Certified Registered

About CLINICAL COLLEAGUES OF INDIANA PC

This page provides the complete NPI Profile along with additional information for Clinical Colleagues Of Indiana Pc, a provider established in Elkhart, Indiana operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1003469495 assigned on July 2019. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kurt Zumwalt (President)

NPI
1003469495
Provider Name
CLINICAL COLLEAGUES OF INDIANA PC
Entity Type
Organization
Location Address
500 ARCADE AVE STE 100 ELKHART, IN 46514
Location Phone
(800) 927-0002
Location Fax
(603) 893-8886
Mailing Address
1765 E NINE MILE RD STE 1-229 PENSACOLA, FL 32514
Mailing Phone
(410) 429-6115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2019
Last Update Date
02-21-2020
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Location Map

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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

Group Taxonomy 193400000X MULTIPLE 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

KURT ZUMWALT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(410) 429-6115

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003469495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 8 + 6 + 1 + 8 + 4 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003469495.

Other Providers at the Same Location


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

Anesthesiology
500 ARCADE AVE STE 100
ELKHART, IN 46514
Anesthesiology
500 ARCADE AVE STE 100
ELKHART, IN 46514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003469495, enumerated as an "organization" on July 24, 2019.

The provider is located at 500 ARCADE AVE STE 100 ELKHART, IN 46514 and the phone number is (800) 927-0002.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.