CLEAR WATER MEDICAL LLC
NPI 1043512783
Physician Assistant in Wilmington, NC

NPI Status: Active since December 01, 2010

Contact Information

4912 LAKE RENAISSANCE CIR
WILMINGTON, NC
ZIP 28409
Phone: (910) 465-2783
Fax: (910) 794-4531

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  • Organization
  • Physician Assistant

About CLEAR WATER MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Clear Water Medical Llc, a primary care provider established in Wilmington, North Carolina operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1043512783 assigned on December 2010. The practitioner's primary taxonomy code is 363A00000X with license number 101955 (NC). The provider is registered as an organization and their NPI record was last updated 16 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 William Anthony Gore Pa (Managing Member)

NPI
1043512783
Provider Name
CLEAR WATER MEDICAL LLC
Entity Type
Organization
Location Address
4912 LAKE RENAISSANCE CIR WILMINGTON, NC 28409
Location Phone
(910) 465-2783
Location Fax
(910) 794-4531
Mailing Address
PO BOX 16310 WILMINGTON, NC 28408
Mailing Phone
(910) 465-2783
Mailing Fax
(910) 794-4531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2010
Last Update Date
12-01-2010
Code Navigator

A primary care provider (PCP) like Clear Water Medical Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
101955
License State
NC
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

WILLIAM ANTHONY GORE PA

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(910) 465-2783

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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 1043512783, 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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 4 → 8 5 → 10 → 1 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 0 + 1 + 4 + 7 + 1 + 6 + 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 1043512783.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043512783, enumerated as an "organization" on December 01, 2010.

The provider is located at 4912 LAKE RENAISSANCE CIR WILMINGTON, NC 28409 and the phone number is (910) 465-2783.

Physician Assistant with taxonomy code 363A00000X.