LAKESIDE FAMILY MEDICINE CONNEAUT LAKE
NPI 1013316553
Non-Pharmacy Dispensing Site in Conneaut Lake, PA
NPI Status: Active since August 21, 2014
Contact Information
11065 STATE HIGHWAY 18
SUITE 1
CONNEAUT LAKE, PA
ZIP 16316
Phone: (814) 382-6550
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
About LAKESIDE FAMILY MEDICINE CONNEAUT LAKE
This page provides the complete NPI Profile along with additional information for Lakeside Family Medicine Conneaut Lake, a provider established in Conneaut Lake, Pennsylvania operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1013316553 assigned on August 2014. The practitioner's primary taxonomy code is 332900000X with license number OS012755 (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Lakeside Family Medicine Conneaut Lake. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1013316553
- Provider Legal Name
- UPMC COMMUNITY MEDICINE
- Other Organization Name
- LAKESIDE FAMILY MEDICINE CONNEAUT LAKE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11065 STATE HIGHWAY 18 SUITE 1 CONNEAUT LAKE, PA 16316
- Location Phone
- (814) 382-6550
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-21-2014
- Last Update Date
- 08-21-2014
- Code Navigator
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- OS012755
- License State
- PA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1013316553, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013316553, enumerated as an "organization" on August 21, 2014.
The provider is located at 11065 STATE HIGHWAY 18 SUITE 1 CONNEAUT LAKE, PA 16316 and the phone number is (814) 382-6550.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
