MARYMOUNT PRIMARY CARE SERVICES, INC
NPI 1023089653
Preventive Medicine - Occupational Medicine in Chagrin Falls, OH

NPI Status: Active since January 31, 2006

Contact Information

17747 CHILLICOTHE RD
SUITE 100
CHAGRIN FALLS, OH
ZIP 44023
Phone: (440) 543-8855
Fax: (440) 543-2470

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  • Organization
  • Preventive Medicine
  • Occupational Medicine
  • Accepts Insurance

About MARYMOUNT PRIMARY CARE SERVICES, INC

This page provides the complete NPI Profile along with additional information for Marymount Primary Care Services, Inc, a provider established in Chagrin Falls, Ohio operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1023089653 assigned on January 2006. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Marymount Primary Care Services, Inc 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 Mr. Peter P Walchanowicz (Practice Manager)

NPI
1023089653
Provider Name
MARYMOUNT PRIMARY CARE SERVICES, INC
Entity Type
Organization
Location Address
17747 CHILLICOTHE RD SUITE 100 CHAGRIN FALLS, OH 44023
Location Phone
(440) 543-8855
Location Fax
(440) 543-2470
Mailing Address
17747 CHILLICOTHE RD SUITE 100 CHAGRIN FALLS, OH 44023
Mailing Phone
(440) 543-8855
Mailing Fax
(440) 543-2470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2006
Last Update Date
07-28-2008
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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

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
32084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
4332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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:

  • Bronze Classic PCP Saver | Cleveland Clinic - HMO
  • Bronze Classic Standard | Cleveland Clinic - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Bronze Simple Diabetes | Cleveland Clinic - HMO
  • Bronze Simple HSA | Cleveland Clinic - HMO
  • Gold Classic Standard | Cleveland Clinic - HMO
  • Gold Elite | Cleveland Clinic - HMO
  • Gold Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Classic Standard | Cleveland Clinic - HMO
  • Silver Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Silver Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Silver Simple Diabetes | Cleveland Clinic - HMO
  • Silver Simple PCP Saver | Cleveland Clinic - HMO
  • Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic - HMO

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.

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

MR. PETER P WALCHANOWICZ

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(440) 543-8855

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
0139719MEDICAID (05)OH 
1280450001MEDICARE NSC (07)OH 
CK0694MEDICARE PIN (08)OH 
000000028432OTHER (01)OHANTHEM
9265461MEDICARE PIN (08)OH 

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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 1023089653, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 2 → 4 0 → 0 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 0 + 8 + 1 + 8 + 6 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1023089653.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Dentist (General Practice)
17747 CHILLICOTHE RD, #205
CHAGRIN FALLS, OH 44023
Family Medicine
17747 CHILLICOTHE RD, SUITE 100
CHAGRIN FALLS, OH 44023
Social Worker (Clinical)
17747 CHILLICOTHE RD, SUITE 202
CHAGRIN FALLS, OH 44023
Ophthalmology
17747 CHILLICOTHE RD
CHAGRIN FALLS, OH 44023
Internal Medicine
17747 CHILLICOTHE RD, SUITE 100
CHAGRIN FALLS, OH 44023
Eyewear Supplier
17747 CHILLICOTHE RD
CHAGRIN FALLS, OH 44023
Ophthalmology
17747 CHILLICOTHE RD, STE 106
CHAGRIN FALLS, OH 44023
Internal Medicine
17747 CHILLICOTHE RD, SUITE 100
CHAGRIN FALLS, OH 44023
Counselor (Professional)
17747 CHILLICOTHE RD, SUITE 105
CHAGRIN FALLS, OH 44023
Specialist
17747 CHILLICOTHE RD, SUITE 203
CHAGRIN FALLS, OH 44023
Dentist (General Practice)
17747 CHILLICOTHE RD, #205
CHAGRIN FALLS, OH 44023
Psychiatry & Neurology (Psychiatry)
17747 CHILLICOTHE RD, SUITE 105
CHAGRIN FALLS, OH 44023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023089653, enumerated as an "organization" on January 31, 2006.

The provider is located at 17747 CHILLICOTHE RD SUITE 100 CHAGRIN FALLS, OH 44023 and the phone number is (440) 543-8855.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Oscar Insurance Corporation of Ohio, Medicare,. Please consult your insurance carrier or call the provider to verify.