LIFEBRIDGE MEDICAL LLC
NPI 1003589706
Pain Medicine - Pain Medicine in Oklahoma City, OK

NPI Status: Active since July 28, 2021

Contact Information

1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 504-5433

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  • Organization
  • Pain Medicine
  • Pain Medicine

About LIFEBRIDGE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Lifebridge Medical Llc, a provider established in Oklahoma City, Oklahoma operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1003589706 assigned on July 2021. The practitioner's primary taxonomy code is 208VP0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Lifebridge Medical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lee Mac Germany Pa-c (Physician Assistant Ceo)

NPI
1003589706
Provider Name
LIFEBRIDGE MEDICAL LLC
Entity Type
Organization
Location Address
1211 N SHARTEL AVE STE 801 OKLAHOMA CITY, OK 73103
Location Phone
(405) 504-5433
Mailing Address
14433 LOCUST ST PIEDMONT, OK 73078
Mailing Phone
(405) 488-7543
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2021
Last Update Date
08-05-2021
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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

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

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)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
3261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 
4363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LEE MAC GERMANY PA-C

Authorized Official Title
PHYSICIAN ASSISTANT CEO
Authorized Official Phone
(405) 504-5433

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1770740680MEDICAID (05)OK 

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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 1003589706, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 1 + 0 + 8 + 1 + 8 + 7 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003589706.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Physical Therapist (Orthopedic)
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Family Medicine
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Family Medicine
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003589706, enumerated as an "organization" on July 28, 2021.

The provider is located at 1211 N SHARTEL AVE STE 801 OKLAHOMA CITY, OK 73103 and the phone number is (405) 504-5433.

Pain Medicine with taxonomy code 208VP0000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.