DBA JACKSON UROLOGY
NPI 1023219425
Urology - Pediatric Urology in Jackson, KY

NPI Status: Active since May 31, 2007

Contact Information

1550 HIGHWAY 15 S STE 27
JACKSON, KY
ZIP 41339
Phone: (606) 693-0116
Fax: (606) 693-0118

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  • Organization
  • Urology
  • Pediatric Urology

About DBA JACKSON UROLOGY

This page provides the complete NPI Profile along with additional information for Dba Jackson Urology, a provider established in Jackson, Kentucky operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1023219425 assigned on May 2007. The practitioner's primary taxonomy code is 2088P0231X with license number 25492 (KY). 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 provider's is doing business as Dba Jackson Urology. The authorized official of this NPI record is Loretta L Campbell (Clinic Coordinator)

NPI
1023219425
Provider Legal Name
JACKSON PHYSICIAN CORP
Other Organization Name
DBA JACKSON UROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1550 HIGHWAY 15 S STE 27 JACKSON, KY 41339
Location Phone
(606) 693-0116
Location Fax
(606) 693-0118
Mailing Address
PO BOX 790 JACKSON, KY 41339
Mailing Phone
(606) 693-0531
Mailing Fax
(606) 693-0118
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2007
Last Update Date
08-22-2020
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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

Urology Pediatric Urology

Taxonomy Code
2088P0231X
Type
Allopathic & Osteopathic Physicians
License No.
25492
License State
KY
Taxonomy Description
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

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

LORETTA L CAMPBELL

Authorized Official Title
CLINIC COORDINATOR
Authorized Official Phone
(606) 693-0531

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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 1023219425, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
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 2 → 4 2 → 4 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 4 + 1 + 1 + 8 + 4 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023219425.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023219425, enumerated as an "organization" on May 31, 2007.

The provider is located at 1550 HIGHWAY 15 S STE 27 JACKSON, KY 41339 and the phone number is (606) 693-0116.

Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.