JEFFERSON PHYSICIAN MANAGEMENT GROUP D/B/A MCKIEVER CLINIC
NPI 1053359539
Legal Medicine in Monticello, AR

NPI Status: Active since June 04, 2006

Contact Information

750 H L ROSS DR
MONTICELLO, AR
ZIP 71655
Phone: (870) 367-6822
Fax: (870) 367-0311

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  • Organization
  • Legal Medicine

About JEFFERSON PHYSICIAN MANAGEMENT GROUP D/B/A MCKIEVER CLINIC

This page provides the complete NPI Profile along with additional information for Jefferson Physician Management Group D/b/a Mckiever Clinic, a provider established in Monticello, Arkansas operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1053359539 assigned on June 2006. The practitioner's primary taxonomy code is 173000000X with license number C5941 (AR). 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 Jefferson Physician Management Group D/b/a Mckiever Clinic. The authorized official of this NPI record is Dr. William R Mckiever M.d. (Owner)

NPI
1053359539
Provider Legal Name
JEFFERSON MANAGEMENT SERVICES,INC D/B/A MCKIEVER CLINIC
Other Organization Name
JEFFERSON PHYSICIAN MANAGEMENT GROUP D/B/A MCKIEVER CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
750 H L ROSS DR MONTICELLO, AR 71655
Location Phone
(870) 367-6822
Location Fax
(870) 367-0311
Mailing Address
PO BOX 490 MONTICELLO, AR 71657
Mailing Phone
(870) 367-6822
Mailing Fax
(870) 367-0311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
C5941
License State
AR
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X MULTIPLE 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

DR. WILLIAM R MCKIEVER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(870) 367-6822

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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 1053359539, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 6 + 5 + 1 + 8 + 5 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053359539.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center
750 H L ROSS DR
MONTICELLO, AR 71655
Clinic/Center
750 H L ROSS DR
MONTICELLO, AR 71655
Clinic/Center
750 H L ROSS DR
MONTICELLO, AR 71655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053359539, enumerated as an "organization" on June 04, 2006.

The provider is located at 750 H L ROSS DR MONTICELLO, AR 71655 and the phone number is (870) 367-6822.

Legal Medicine with taxonomy code 173000000X.